Complaint Form For Reporting Sexual Harassment

If you believe that you have been subjected to sexual harassment, you are encouraged to complete this form. Your identity will remain anonymous.

1 minute to complete


The form can be filled out by any individual who has experienced sexual harassment.


Questions for Complaint Form For Reporting Sexual Harassment



Your complaint of Sexual Harassment is made about

The answer should be a single choice:
  1. Supervisor
  2. Subordinate
  3. Co-Worker

Name of the person

The answer should be a text input.

Please describe what happened and how it is affecting you and your work.

The answer should be a text input.

Is the sexual harassment continuing?

The answer should be a single choice:
  1. Yes
  2. No

Please list the name and contact information of any witnesses or individuals who may haveinformation related to your complaint:

The answer should be a text input.

Have you previously complained or provided information (verbal or written) about relatedincidents? If yes, when and to whom did you complain or provide information?

The answer should be a text input.

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Here are some FAQs and additional information
Complaint Form For Reporting Sexual Harassment

What is sexual harassment?

Sexual harassment includes any unwelcome sexual advances, requests for sexual favors, or other verbal or physical conduct of a sexual nature.

What types of behavior may constitute sexual harassment?

Sexual harassment can take many forms. It can be verbal, visual, or physical. It can be overt or subtle. It can be done by a supervisor, a co-worker, or someone not even connected with the workplace, such as a client or vendor. Sexual harassment can occur between people of the same or different genders.

Can you list some examples of sexual harassment?

Some examples of sexual harassment include: 1. Unwanted sexual advances 2. Requests for sexual favors 3. Offensive sexual comments or jokes 4. Displaying sexually explicit materials 5. Physical assault

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