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The ________
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Dear Sir/Madam,
RE: FORMAL COMPLAINT OF WORKPLACE HARASSMENT
I, ________, employed by ________ ("the Company") as ________ in the ________ Department since ________, hereby lodge this formal written complaint of harassment which I have been subjected to in the course of my employment. I request that the Company take the necessary steps to investigate and resolve this matter in accordance with its grievance and anti-harassment policies and applicable law.
§1. Particulars of the Person Complained Against
This complaint is made against ________, who holds the position of ________ in the ________ Department ("the Respondent").
§2. Particulars of the Harassment
The Respondent has subjected me to harassment in the following manner:
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§3. Date(s) and Location of the Incident(s)
The said conduct occurred on or about ________ at ________, and where applicable on the following further occasions:
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§4. Witnesses
The following persons witnessed and/or have knowledge of the incident(s) complained of:
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§5. Effect of the Harassment
The aforesaid conduct has created a hostile and intimidating working environment for me and has adversely affected my dignity, well-being and overall work performance in the following respects:
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§6. Supporting Evidence
In support of this complaint, I enclose and rely on the following evidence:
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§7. Prior Steps Taken
I previously reported this matter to ________ on ________, who took the following steps; however, no satisfactory change resulted:
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§8. Legal Basis
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§9. Reliefs Sought
I therefore request that the Company:
- promptly, impartially and confidentially investigate this complaint in accordance with its policies and the principles of natural justice;
- take appropriate disciplinary and remedial action against the Respondent to ensure that the harassment ceases and does not recur;
- take such interim measures as may be necessary to protect me from further harassment, victimisation or retaliation pending the conclusion of the investigation; and
- communicate to me in writing the outcome of the investigation and the steps taken.
§10. Confidentiality and Protection from Retaliation
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I trust that this complaint will be handled fairly and expeditiously. Should you require any further information or wish to discuss this matter, I may be reached on the contact details above.
Thank you for your attention to this matter. I look forward to your prompt response.
Yours faithfully,
__________________
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Date: ________
Enclosures: ________