Model Complaint Form for Reporting Sexual Harassment - NY 2025

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I am writing to bring to your attention an issue of harassment that I have been experiencing in the workplace. I have been subjected to [insert specific details of the harassment, such as verbal or physical abuse, unwanted advances, or discrimination] by [insert name of the person/persons who have been harassing you].
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.
Examples of harassment include offensive or derogatory jokes, racial or ethnic slurs, pressure for dates or sexual favors, unwelcome comments about a persons religion or religious garments, or offensive graffiti, cartoons or pictures.
For example, you might write: I am writing to formally file a complaint regarding harassment I have experienced in the workplace. This complaint is directed against [Name of individual(s)], whose behaviour has created a hostile and unproductive work environment for me.
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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What Do You Do if You are Harassed? You may speak to the harasser directly. write a letter to the harasser detailing the harassment and stating you want it to stop. speak with the harassers supervisor. speak to someone else who is in a position to help or investigate your complaint and take appropriate action.
California Workplace Harassment Overview FactorsDescription Hostile Comments Hurtful or intimidating remarks Verbal Abuse Shouting, belittling, or name-calling Physical Intimidation Threats or gestures that invoke fear Invasion of Personal Space Unwanted touching or invading personal boundaries7 more rows Feb 5, 2024
Offensive conduct may include, but is not limited to, offensive jokes, slurs, epithets or name calling, physical assaults or threats, intimidation, ridicule or mockery, insults or put-downs, offensive objects or pictures, and interference with work performance.

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