Employee Complaint Form For Reporting Sexual Harassment (00044741) DOCX 2026

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The document is a Sexual Harassment Employee Complaint Form required by New York State Labor Law, which mandates employers to have a sexual harassment prevention policy. It provides instructions for employees to report incidents of sexual harassment, including contact information for the Deputy Title IX Coordinator at Yeshiva University. The form collects complainant and supervisory information, details about the alleged harassment, and allows for witness information. It assures employees that they will not face retaliation for filing a complaint.

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Click ‘Get Form’ to open the Employee Complaint Form in the editor.
Begin by filling out the 'Complainant Information' section. Enter your name, job title, work location, phone number, and email address. Select your preferred communication method for follow-up.
In the 'Supervisory Information' section, provide details about your immediate supervisor including their name, job title, work location, and phone number.
For the 'Complaint Information' section, specify who the complaint is against by filling in their name, job title, work location, and relationship to you. Choose from options like subordinate or co-worker.
Detail the circumstances of the harassment in the provided space. Include dates and locations of incidents. If necessary, attach additional documents using our platform's upload feature.
List any witnesses or individuals who may have relevant information regarding your complaint.
Indicate if you have previously complained about related incidents and provide details if applicable.
Finally, sign and date the form before submitting it via email or personal delivery as instructed.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to write up a harassment complaint?

Essential Elements for Every Incident Record: Date and time (as specific as possible) Location where the incident occurred. People present (harassers and witnesses) Exact words or actions that constituted harassment. Your response to the incident. Immediate impact on your work or well-being.

What are the four steps a person should take when reporting a case of harassment?

How to report workplace harassment Step 1: Try to resolve the issue. If you experience workplace harassment, consider addressing the matter directly with the person involved but only if you feel safe doing so. Step 2: Compile evidence. Step 3: Escalate the situation to management or HR. Step 4: Prevent retaliation.

What kind of proof do you need for harassment?

Include the date of the incident, time, location, people involved, and what was said or done. Be factual, not emotional. Stick to the specifics of what happened and try to avoid interpreting the harassers motives or intent. Let the details speak for themselves.

How to file a complaint against an employer for harassment?

California Civil Rights Department (CRD) Handles complaints related to discrimination, harassment, and retaliation under FEHA. To file: Visit the CRDs website and complete the online intake form. Provide details about the employer and alleged misconduct.

What is an important element to include when documenting incidents of harassment?

Write down the details of the harassment. A clear description of the issue: Detail the incidents that occurred, including specific dates, times, and locations. Names of individuals involved: Identify the person or people whose behaviour has caused the issue, along with any witnesses who may have observed the incidents.

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How to document a harassment complaint?

Maintain a written journal of each incident, including: The date and time. The location. The names of everyone involved. What was said or done.

Employee Complaint Form For Reporting Sexual Harassment (00044741) DOCX 2026

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