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Letter to Report Workplace Harassment - Template Form

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Create your Letter to Report Workplace Harassment for use in United States. Answer a few plain-English questions and the document fills in automatically as you go - then download it in Word and PDF, ready to sign or share.

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Below you can preview the Letter to Report Workplace Harassment, complete it by answering a few plain-English questions, and download a ready-to-sign copy in Word and PDF - tailored for use in United States.

What the Letter to Report Workplace Harassment includes

This template is organised into the following sections:

Frequently asked questions

What is a Letter to Report Workplace Harassment?

A Letter to Report Workplace Harassment is a ready-to-use legal template for United States. You complete it by answering a few plain-English questions, then download the finished document in Word and PDF.

What does the Letter to Report Workplace Harassment cover?

The Letter to Report Workplace Harassment is organised into sections covering § 1. Purpose of This Communication, § 2. My Employment Information, § 4. Nature of the Harassment, § 5. Specific Incidents, § 6. Prior Reports, so the important points are captured in a clear, consistent structure.

What formats can I download?

You can download your completed Letter to Report Workplace Harassment as an editable Microsoft Word (.docx) file and as a PDF.

Can I edit the document later?

Yes - save it to your account and you can re-open, edit and re-download it at any time.

Is a Letter to Report Workplace Harassment legally binding?

Once it is properly completed and signed by everyone involved, a Letter to Report Workplace Harassment is generally legally binding in United States, provided it meets the legal requirements that apply to this type of document.

What laws apply to a Letter to Report Workplace Harassment in United States?

A Letter to Report Workplace Harassment should comply with the laws in force in United States. This template is built around the provisions such situations commonly require, but the rules can vary by region and change over time, so check the current requirements for your case.

Do I need a lawyer to use a Letter to Report Workplace Harassment?

For most standard situations you can complete the Letter to Report Workplace Harassment yourself using the guided questionnaire. For high-value, unusual or high-risk matters, it is sensible to have a qualified lawyer review the finished document.

How do I sign the Letter to Report Workplace Harassment?

Download the completed Letter to Report Workplace Harassment as Word or PDF and sign it as required in United States. Depending on the document this may involve a handwritten or electronic signature, and some documents also need witnesses.

Is the Letter to Report Workplace Harassment free?

You can preview the Letter to Report Workplace Harassment and fill it in for free. A one-time fee applies only when you download the finished, ready-to-sign document in Word and PDF.

How long does it take to complete a Letter to Report Workplace Harassment?

Most people finish the Letter to Report Workplace Harassment in just a few minutes by answering the plain-English questions. You can save your progress and come back to it at any time.

Prepared and reviewed by the LegalDocs team.

Document preview

FORMAL COMPLAINT OF WORKPLACE HARASSMENT

________
________
Email: ________
Phone: ________

Date: ________

Delivered by: ________

________
________
________
________
Email: ________

RE: Formal Complaint of Workplace Harassment

Dear ________:

§ 1. Purpose of This Communication. This letter constitutes a formal, written complaint of workplace harassment that I have experienced in the course of my employment with ________ (the “Company”). I am submitting this complaint to place the Company on notice and to request that it discharge its legal obligation to promptly investigate and remediate the conduct described below. I respectfully request that this matter be treated as a formal complaint pursuant to the Company’s anti-harassment policy and applicable law, including Title VII of the Civil Rights Act of 1964, 42 U.S.C. § 2000e et seq., and the applicable anti-discrimination and anti-harassment statutes of the State of ________.

§ 2. My Employment Information.

  1. Employee Name: ________
  2. Position/Title: ________
  3. Department/Location: ________
  4. Date of Hire: ________
  5. Direct Supervisor: ________

§ 3. Identity of the Alleged Harasser and Onset of Conduct. The individual engaging in the conduct complained of is ________, whose title and relationship to me is ________. The harassing conduct began on or about ________ and, to date, has ________.

§ 4. Nature of the Harassment. The conduct I have experienced constitutes sexual harassment. I believe this conduct is unwelcome, is based on a protected characteristic, and has created a hostile, intimidating, or offensive work environment and/or has otherwise affected the terms and conditions of my employment.

§ 5. Specific Incidents. The following is a description of the relevant incidents, including, where known, the date, time, location, persons present, and a factual account of what occurred:

________

§ 6. Prior Reports. I have already raised these incidents and this pattern of conduct with the following individual(s) on the date(s) indicated, but to my knowledge no effective corrective action has been taken: ________

§ 7. Supporting Evidence. I am in possession of, or aware of, the following evidence relating to the conduct described above:

________

§ 8. Witnesses. The following individuals witnessed certain of the incidents described above and have indicated a willingness to provide statements:

________

§ 9. Additional Information. I wish to make the Company aware of the following additional information relevant to this complaint:

________

§ 12. Reservation of Rights. Nothing in this letter shall be construed as a waiver of, and I expressly reserve, all rights and remedies available to me under federal, state, and local law, including the right to file a charge with the U.S. Equal Employment Opportunity Commission and/or the applicable state or local fair employment practices agency, and to pursue any other available legal remedy.

§ 13. Request for Response. I am available to provide any additional information you may require in furtherance of your investigation and request a written response on or before ________. Thank you for your prompt attention to this serious matter.

Sincerely,



________
Signature: ____________________________
Date: ________

cc: ________

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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.