About this template
Handling workplace harassment complaints requires a formal, secure, and empathetic process. This Workplace Harassment Complaint Form template provides HR departments, managers, and legal teams with a structured way to capture critical incident details while ensuring employees feel heard and supported.
The form systematically gathers essential information, including complainant contact details, the date and time of the incident, specific locations, involved parties, and eyewitness accounts. By centralizing this data in a Google Form, organizations can maintain clear documentation required for internal investigations and compliance reviews.
Doc2Form makes it easy to deploy this essential reporting tool across your organization in seconds. Whether shared via secure internal links or company portals, this template ensures that sensitive reports are handled consistently, professionally, and confidentially.
Key features
- Capture detailed incident timelines, locations, and involved parties.
- Document witness accounts and previous occurrences effectively.
- Centralize sensitive HR data securely within your Google Workspace.
- Standardize the grievance reporting process for fair investigations.
- Deploy instantly across your organization with a simple link.
Use cases
- Internal human resources grievance reporting and documentation.
- Manager-level preliminary incident data collection.
- Legal team intake for formal workplace investigations.
- Corporate compliance and employee relations record-keeping.
What this form collects
- Complainant Full Name (Short answer)Enter your first and last name.
- Contact Phone Number (Short answer)Provide a phone number where HR can reach you confidentially.
- Form Completion Date (Date)Select today's date.
- Name of Alleged Harasser (Respondent) (Short answer)Provide the full name and job title of the individual involved.
- Incident Date & Time (Date)Approximate date and time when the incident occurred.
- Incident Location (Short answer)Where did the incident take place? (e.g., Main Office Conference Room, Remote Slack Channel, Job Site)
- Detailed Description of the Incident (Paragraph)Describe what happened in detail, including specific words or actions used. Stick to objective facts.
- Prior Occurrences (Multiple choice)Have there been prior incidents involving this individual?
- Prior Occurrence Frequency (Dropdown)If yes, how often have similar incidents occurred?
- Witnesses Present (Paragraph)List the names of any coworkers who witnessed the incident.
- Other Affected Persons (Short answer)Were there any other individuals targeted or affected by this incident?
- Immediate Response (Paragraph)Did you take any action at the time of the incident? (e.g., asked the person to stop)
- Supporting Documentation (Paragraph)Please paste a link to your file (Google Drive, Dropbox, etc.) or describe any relevant messages, emails, or notes you wish to attach.
- Acknowledgment and Signature (Short answer)By typing your full legal name below, you confirm that the information provided is true and accurate to the best of your knowledge.
FAQ
How do I share this form securely with employees?
You can share the generated Google Form via a direct link, embed it on an internal employee portal, or send it via company email depending on your organization's privacy protocols.
Can I customize the questions to fit our company policy?
Yes! Once your Google Form is created, you have full control to add, edit, or remove fields to align perfectly with your employee handbook and local regulations.
Where are the complaint submissions stored?
All responses are automatically routed to a secure Google Sheet linked to your form, giving authorized HR personnel instant access to review the data.
Is this form suitable for remote and hybrid teams?
Yes, because it is cloud-based, employees can securely submit reports from anywhere, making it ideal for distributed and remote workforces.
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.