Instructions for HR: Ensure all steps are completed, if needed: provide advice for the investigation, and document and file outcomes. Set up a workflow to check to make sure the manager section is completed. Send reminders as needed.

"*" indicates required fields

Review and Acknowledgment

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Was the behavior confirmed as harassment?*

Signatures and Confirmation

All parties must sign to confirm the process and the managers' follow-up plan has been completed.
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Additional Notes:

  • This form will be stored securely in compliance with company policies.
  • Managers and HR will ensure transparency and timely communication with the employee while maintaining confidentiality.
  • Use this form in conjunction with training on harassment prevention and response.

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