Sexual Harassment Allegation Documentation Checklist

1. Basic Information

Date of Allegation: Complainant Name: Respondent (Alleged Person) Name:

2. Incident Details

Date(s) of Incident: Location(s) of Incident: Description of Alleged Incident:

3. Witnesses

Name(s) of Witnesses (if any):

4. Evidence

Documentation/Evidence (list, describe, reference attachments):

5. Reporting

Reported to (position/title): Date Reported:

6. Follow-Up Actions Taken

7. Additional Notes