Workplace Harassment Complaint Verification Sheet
1. Complainant Details
Full Name
Department/Designation
Contact Information
2. Accused Details
Full Name
Department/Designation
3. Incident Details
Date of Incident
Location
Description of Incident
Witness(es) (if any)
4. Evidence Provided
Type of Evidence
Description
5. Initial Verification
Summary of Findings
Status
Verified
Unsubstantiated
Requires Further Investigation
6. Verification Team
Name(s) of Verifying Officer(s)
Date of Verification
Additional Notes