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Harassment Complaint Form

A harassment complaint form is used to file a complaint of workplace harassment. Provide detailed information about the incident(s), including the date(s), time(s), location(s), name(s) of the person(s) involved, and any witnesses. Describe the nature of the harassment and how it has affected you. Any additional information will be helpful in the investigation. The purpose of the form is to provide a formal channel for employees to report incidents of workplace harassment and to ensure that the necessary action is taken to address the situation. It’s important to fill out the form accurately and completely to provide a clear picture of the situation and to expedite the investigation process. Please note that retaliation against you for filing a complaint is strictly prohibited and will result in disciplinary action. All complaints will be taken seriously and handled confidentially. Thank you for your cooperation in making the workplace safe and respectful for all.

Harassment Complaint Form

24-hour online access

The harassment complaint form can be available 24 hours a day for employees to report workplace harassment.

Email form data

Harassment complaint form data is automatically sent to one or more Email addresses of your choosing.

Custom redirect

After submitting the form, users can receive a customized message or be redirected to a particular web page.

Responsive form design

Our harassment complaint form uses responsive technology which computers, tablets, or cell phones can access.

Conditional logic

The harassment complaint form can be configured to show or hide fields, where to send data, based on user input.

State & federal compliance

Our harassment complaint form complies with state and federal workplace harassment policy and procedures.

Tailored to your company’s needs. Include your company’s policies and procedures. 

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