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Model Complaint Form for
Reporting Sexual Harassment
Rensselaerville Library
New York State Labor Law requires all employers to adopt a sexual harassment prevention policy that
includes a complaint
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How to fill out harassment report form
How to fill out harassment report form
01
Fill out your personal information such as name, address, phone number, and email.
02
Specify the date and time of the incident.
03
Describe the incident in detail including what happened, who was involved, and any witnesses present.
04
Attach any evidence you have such as emails, text messages, or photos.
05
Indicate if you have reported the incident to anyone else.
06
Sign and date the form to validate the information provided.
Who needs harassment report form?
01
Anyone who has experienced harassment or witnessed harassment can use the harassment report form to document and report the incident.
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What is harassment report form?
A harassment report form is a document used to formally report incidents of harassment, providing details about the events, the individuals involved, and any witnesses.
Who is required to file harassment report form?
Individuals who have experienced or witnessed harassment, as well as employees who are mandated by their organization’s policy, are typically required to file a harassment report form.
How to fill out harassment report form?
To fill out a harassment report form, individuals should provide detailed information about the incident, including dates, locations, descriptions of the harassment, and any evidence or witnesses.
What is the purpose of harassment report form?
The purpose of a harassment report form is to formally document incidents of harassment to ensure they are investigated, addressed, and resolved appropriately.
What information must be reported on harassment report form?
The harassment report form typically requires details such as the name of the victim, description of the harassment, names of the alleged harasser(s), date and time of incidents, locations, and any witnesses.
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