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TOOLKIT RESOURCE #19 Sample Harassment Complaint Form Welcoming Workplaces PART I Complainants Name: Address: Telephone Number: Department: Position×Job Title: Name of Immediate Supervisor: PART
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How to fill out sample harassment complaint form

How to fill out a sample harassment complaint form:
01
Start by carefully reading the instructions on the form. Understand the purpose of the form and the information that needs to be provided.
02
Begin with your personal information section. This usually includes your full name, address, phone number, and email address. Fill in each field accurately and ensure that the information is up to date.
03
Move on to the details of the harassment incident. Describe the incident or incidents in a clear and concise manner. Include dates, times, locations, and any witnesses if applicable. Be specific about what happened and how it made you feel.
04
Provide information about the harasser. If you know the name, address, or any contact details of the person responsible for the harassment, include it in this section. If you are unsure or cannot provide this information, indicate it on the form.
05
Include any evidence or documentation that supports your complaint. This may include emails, text messages, photographs, or any other relevant evidence. Make sure to attach copies and not the originals.
06
If you have reported the harassment to any authority, such as your employer or the police, mention it on the form. Provide details of when and where you reported it, as well as the outcome, if applicable.
07
If you require any action or resolution, state it clearly on the form. Whether you want an investigation, disciplinary action, or any other specific outcome, make sure to include it in your complaint.
08
Review the form before submission. Double-check for any errors, missing information, or inconsistencies. Make sure your handwriting is legible and that you have signed and dated the form where required.
Who needs a sample harassment complaint form?
01
Victims of harassment: Individuals who have experienced harassment or have witnessed harassment can use a sample harassment complaint form to document and report the incident. It provides a structured format to convey the details effectively.
02
Human resources departments: HR departments in organizations can use a sample harassment complaint form as a template to create their own internal complaint forms. This helps streamline the process and ensures that all necessary information is gathered.
03
Legal professionals: Lawyers and legal professionals may use a sample harassment complaint form as a reference when advising clients on how to document harassment incidents. It can provide guidance on the types of information to include and how to present the complaint effectively.
04
Employers: Employers who want to create a safe and respectful work environment can use a sample harassment complaint form as a tool to encourage employees to report incidents. It shows a commitment to addressing and resolving harassment issues promptly and appropriately.
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What is sample harassment complaint form?
Sample harassment complaint form is a document used to report instances of harassment in the workplace.
Who is required to file sample harassment complaint form?
Any employee who has experienced harassment or witnessed harassment in the workplace is required to file the sample harassment complaint form.
How to fill out sample harassment complaint form?
To fill out the sample harassment complaint form, the individual must provide details of the harassment incident, their personal information, and any supporting evidence.
What is the purpose of sample harassment complaint form?
The purpose of the sample harassment complaint form is to document and investigate harassment claims in the workplace.
What information must be reported on sample harassment complaint form?
The information reported on the sample harassment complaint form includes details of the harassment incident, names of individuals involved, and any evidence to support the claim.
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