Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
COMPLAINT INITIAL ASSESSMENT AND RECEIPT
1. Date complaint received: {{date_complaint_received}}
2. Complainant's Name: {{complainant_name}}
3. Respondent's Name(s): {{respondent_name}}
4. Nature of complaint (brief summary): {{nature_of_complaint}}
5. Is the complaint formal or informal? Assessment: {{complaint_type}}
6. Has the complainant been informed of the investigation process? Yes/No. Date informed: {{date_complainant_informed}}
INVESTIGATOR APPOINTMENT AND PLANNING
1. Lead Investigator: {{investigator_name}}
2. Date of appointment: {{investigator_appointment_date}}
3. Investigation Plan Developed? Yes/No. Date: {{investigation_plan_date}}
4. Key investigation objectives defined: {{investigation_objectives}}
5. Provisional timeline established: Start Date: {{investigation_start_date}}, Projected End Date: {{investigation_end_date}}
INTERVIEW PROCESS
1. Interview with Complainant
- Date(s) of interview: {{complainant_interview_date}}
- Key allegations documented: {{complainant_allegations}}
- Evidence provided by complainant (documents, witnesses, etc.): {{complainant_evidence}}
- Complainant's desired outcome: {{complainant_desired_outcome}}
2. Interview with Respondent(s)
- Date(s) of interview: {{respondent_interview_date}}
- Key responses to allegations documented: {{respondent_responses}}
- Evidence provided by respondent (documents, witnesses, etc.): {{respondent_evidence}}
- Respondent informed of non-retaliation policy: Yes/No
3. Interviews with Witnesses
- Witness names: {{witness_names}}
- Date(s) of interview: {{witness_interview_date}}
- Relevant information gathered: {{witness_information}}
- Witness advised of confidentiality: Yes/No
EVIDENTIARY REVIEW AND ANALYSIS
1. All evidence collected (interview notes, documents, emails, etc.) reviewed: Yes/No
2. Consistency and discrepancies in statements identified: {{discrepancies_identified}}
3. Credibility assessment of statements: {{credibility_assessment}}
4. Are there any gaps in the evidence? If so, what are they and how will they be addressed? {{evidentiary_gaps}}
FINDINGS AND CONCLUSION
1. Based on the balance of probabilities, has harassment occurred? Yes/No
2. Summary of findings: {{summary_of_findings}}
3. Conclusion regarding policy violation: {{policy_violation_conclusion}}
4. Any mitigating or aggravating factors considered: {{mitigating_aggravating_factors}}
RECOMMENDATIONS AND ACTIONS
1. Recommended disciplinary action for respondent (if applicable): {{recommended_disciplinary_action}}
2. Recommended supportive measures for complainant: {{supportive_measures_complainant}}
3. Recommended broader organizational interventions (e.g., training, policy review): {{organizational_interventions}}
4. Date recommendations submitted: {{recommendations_submission_date}}
POST-INVESTIGATION FOLLOW-UP
1. Communication to Complainant regarding outcome (without disclosing disciplinary details of respondent): {{complainant_outcome_communication_date}}
2. Communication to Respondent regarding outcome and any disciplinary action: {{respondent_outcome_communication_date}}
3. Follow-up plan established (e.g., monitoring, further support): {{follow_up_plan}}
4. Date of follow-up: {{follow_up_date}}
DOCUMENTATION AND RECORD KEEPING
1. All investigation documentation compiled and secured: Yes/No
2. Confidentiality maintained throughout: Yes/No
3. Retention period for records: {{record_retention_period}}
Signature Block
_________________________
{{investigator_signature}}
Lead Investigator
Date: {{investigator_date}}
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