Harassment Incident Form Template
Help employees notify you of workplace incidents with this expert-built harassment incident complaint template.
-
Allow employees to anonymously notify you of workplace harassment incidents.
-
Collect details about harassment case.
-
Have a fully anonymous two-way conversation with the employee to get more details while protecting their anonymity.
Start with this template, customize it to match your brand, and add any additional fields if required. Then, share it with your employees or post it on Slack or MS Teams and document harassment incidents.
Start 14-day Trial · Book a Demo

Trusted by leaders and HR professionals at more than 60,000 companies







What makes our workplace incident form template ideal for your organization:
Anonymity Built in: This template collects 100% anonymous notifications. It does not collect any personal information from employees, allowing them to notify you of any workplace harassment incidents without fear of reprisal.
Two-way Anonymous Conversations: The Direct Replies feature allows you to reply to respondents without ever learning their identity.
High level of privacy and security: Only you (and any managers you invite to your account) can access responses.
Why use this harassment incident form template?
The workplace harassment incident form helps you encourage reporting and provide employees with a clear, accessible, and safe way to report incidents confidentially and anonymously.
With the workplace harassment form, you will also establish a formal record and document complaints that require management to take action.
The form will also reassure employees about how seriously the organization is taking addressing harassment and building a safe and respectful workplace.
Finally, with the form in place, you will be able to learn about potential incidents quickly, and intervene fast before they escalate.
Why companies choose our workplace harassment form template

Fully customizeable response form to submit ideas

Share via link or QR code

Private & Secure

Full submission anonymity right out of the box

Direct replies that do not reveal the person’s real identity

Complete Case Management
They love us for a reason
Don’t just take our word for it, see and hear what our customers are saying.
“Our patient-first focus drives everything we do, from improving clinical outcomes to reaching patients where and when they need us most.”
Jennifer George, MS, SHRM-CP
Manager, People Operations
“In the IMImobile world, each touchpoint is an opportunity to deliver rich, engaging, intuitive experiences where every interaction matters.”
J Patel
CEO, IMImobile
“If you really want to take your business to the next level, you need a strategic mindset behind the service you give to customers, which is obviously provided by your people”
Greg Crook
VP of Human Resources
Collect anonymous feedback from employees
We bridge the gap between leaders and employees with the help of anonymous and unfiltered feedback.



