Harassment Complaint Form

This harassment complaint form template provides a structured way to document and report workplace harassment incidents. It ensures all necessary information is collected while maintaining confidentiality and supporting proper investigation procedures.

What This Template Is For

This form is designed to document incidents of workplace harassment, including discrimination, hostile work environment, or inappropriate conduct. It helps organizations maintain accurate records, conduct thorough investigations, and comply with legal requirements under Title VII of the Civil Rights Act, ADEA, and ADA.

When To Use This Template

Use this form when:

• An employee reports experiencing or witnessing harassment
• Documentation of workplace incidents is needed
• Formal complaints need to be filed with HR
• Investigation of harassment allegations is required
• Creating records for legal compliance

How To Customize It

To adapt this template for your organization:

1. Add your company logo and branding
2. Include specific company policy references
3. Modify contact information for HR department
4. Add relevant legal disclaimers
5. Customize submission instructions
6. Include additional fields specific to your reporting process

Common Use Cases

This form is commonly used for:

• Reporting workplace discrimination
• Documenting hostile work environment incidents
• Recording sexual harassment complaints
• Reporting retaliation cases
• Documenting witness accounts

Best Practices

• Maintain strict confidentiality
• Provide clear instructions for submission
• Include space for detailed incident description
• Document dates, times, and locations
• Record witness information
• Allow for supporting evidence attachment

Template Variations

Consider these variations:

• Anonymous reporting version
• Digital submission form
• Multiple incident report form
• Witness statement form

Success Stories

Organizations using this template have reported improved incident documentation, more thorough investigations, and better compliance with workplace harassment policies.

Frequently Asked Questions