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Letter to Report Workplace Harassment - Template Form

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Email: ________
Phone: ________


Date: ________


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Email: ________


RE: Harassment


Dear ________:

This letter is to report and address workplace harassment that I have been experiencing. My position at ________ is as follows: ________. Please consider this communication a formal complaint. I am requesting you thoroughly investigate the allegations below and cause the harassment to stop.

The person that is harassing me is ________. The harassment began on ________.

The type of harassment I am being subjected to is sexual harassment.

I have compiled a list of the following incidents:

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I have the following evidence of the harassment:

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The following parties were witness to the harassment on certain occasions, and are willing to speak to you as well:

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I would like you to be aware of the following additional information:

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Sincerely,



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