Writing the Sexual Harassment Complaint Form document
SEXUAL HARASSMENT COMPLAINT FORM
Description of alleged sexual harassment. Describe multiple incidents separately, including times, dates, locations, and people present. Use additional pages as needed.
Date alleged harassment was first reported:
Person to whom alleged harassment was first reported:
If complainant knows of others who have been sexually harassed in a similar manner, provide names and job titles below:
If the complainant has filed a grievance with any other agency, state where and when below.
Complainant's signature: Date:
Witness's signature: Date: