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HARASSMENT COMPLAINT FORM
It is the policy of the ULCER that all of its employees be free from harassment including sexual
harassment. This form is provided for you to report what you believe to be
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How to fill out harassment complaint form

Point by point instructions on how to fill out a harassment complaint form:
01
Obtain the form: Contact the appropriate authority or organization that deals with harassment complaints to acquire the specific form. This could be an HR department, an equal opportunity office, or a government agency.
02
Read the instructions: Familiarize yourself with the instructions provided on the form. Take the time to understand the purpose of each section and any requirements for completing the form accurately.
03
Personal information: Begin by filling in your personal details, such as your full name, address, phone number, and email address. Provide any additional information that may be requested, such as your employee or student identification number.
04
Incident details: Describe the incident(s) that prompted you to file a harassment complaint. Include dates, times, and locations to provide a clear timeline of the events. Be as specific as possible, providing details of what was said or done, and any witnesses present.
05
Identify the harasser: Provide the name, job title, or any other relevant identifying information of the individual(s) who engaged in the alleged harassment. If there were multiple harassers, ensure you include details about each person involved.
06
Impact on you: Explain how the harassment has affected you personally. Describe any emotional or physical distress, work or academic difficulties, or negative impact on your overall well-being. This information helps assess the severity of the situation.
07
Witnesses or evidence: If there were any witnesses to the incidents, provide their names and contact information. Additionally, mention if you have any evidence to support your complaint, such as emails, text messages, or photographs. If available, attach copies of these documents to the complaint form.
08
Sign and date: Once you have completed all the necessary sections of the complaint form, read through it carefully to ensure accuracy. Sign and date the form, acknowledging that the information provided is true and accurate to the best of your knowledge.
Who needs a harassment complaint form?
Individuals who have experienced harassment, whether in the workplace, school settings, public spaces, or any other context, may need a harassment complaint form. This includes employees, students, customers, tenants, or anyone subjected to offensive, intimidating, or discriminatory behavior. Filing a complaint form is often the first step in initiating an official investigation and seeking resolution for the reported harassment.
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What is harassment complaint form?
The harassment complaint form is a document used to report instances of harassment in the workplace.
Who is required to file harassment complaint form?
Any individual who has experienced or witnessed harassment in the workplace is required to file a harassment complaint form.
How to fill out harassment complaint form?
To fill out a harassment complaint form, individuals should provide detailed information about the harassment incident, including dates, times, and descriptions of the events.
What is the purpose of harassment complaint form?
The purpose of a harassment complaint form is to document and address instances of harassment in the workplace, and to ensure that appropriate action is taken to stop the harassment.
What information must be reported on harassment complaint form?
The harassment complaint form must include information about the individuals involved, details of the harassment incident, and any supporting evidence, such as witness statements or documentation.
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