About this template
This Sexual Harassment Complaint Form provides a structured, professional, and confidential way for employees to report incidents in the workplace. By using a standardized digital format, HR departments can ensure that all necessary details—including dates, parties involved, and descriptions of behavior—are captured consistently to facilitate timely and fair internal investigations.
Designed for sensitivity and clarity, this form allows complainants to document their experience thoroughly while maintaining a clear audit trail. It covers essential information such as the nature of the incident, witness details, and previous reporting history. Providing a dedicated, accessible channel for these reports is a critical step in fostering a safe, respectful, and compliant work environment.
Key features
- Captures detailed incident timelines and descriptions.
- Includes dedicated sections for witness and supervisor information.
- Standardizes reporting to support objective HR investigations.
- Provides a secure, private channel for sensitive employee feedback.
- Easily tracks if the harassment is ongoing or a recurring issue.
Use cases
- Formal internal HR incident reporting.
- Documenting workplace conduct violations.
- Maintaining records for internal compliance audits.
What this form collects
- Complainant Full Name (Short answer)Please provide your full legal name.
- Job Title & Department (Short answer)What is your current role and department?
- Contact Information (Paragraph)Please provide your work email and phone number for follow-up.
- Name of Accused Individual (Short answer)Provide the full name of the person whose behavior you are reporting.
- Relationship to Accused (Short answer)What is your professional relationship to this person (e.g., supervisor, peer, subordinate)?
- Date and Time of Incident (Date)When did the incident(s) occur?
- Description of Incident (Paragraph)Please describe the incident in detail, including what was said or done.
- Are there any witnesses? (Paragraph)Please list the names of any individuals who witnessed the incident.
- Supporting Documentation (Paragraph)If you have evidence (screenshots, emails, etc.), please upload them to a secure drive and paste the link here.
- Is this an ongoing issue? (Multiple choice)Has this happened more than once?
- Have you reported this previously? (Paragraph)If yes, please provide details on who you spoke to and the outcome.
FAQ
How can I ensure this form remains confidential?
Google Forms data is stored in your associated Google Drive. Ensure that access to the specific folder or spreadsheet receiving the responses is restricted to authorized HR personnel only.
Can I add custom fields to this template?
Yes. Once you copy this template to your own Google Drive, you can add, remove, or edit any questions to align with your company's specific reporting policies.
How should I handle file attachments for evidence?
Since Google Forms does not support native file uploads in all configurations, we recommend using the provided text field to have the user paste a link to a secure, company-approved cloud storage folder where they have uploaded their evidence.
Is this form suitable for all company sizes?
Yes, this template is scalable. It provides the necessary structure for small businesses to establish a process and for larger organizations to maintain consistency across departments.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.