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Harassment Acknowledgement Form for the United States

Harassment Acknowledgement Form Template for United States

A Harassment Acknowledgement Form is a legal document used in United States workplaces to document an employee's receipt and understanding of the organization's harassment policies and procedures. The document complies with federal laws including Title VII of the Civil Rights Act, ADEA, and ADA, as well as state-specific requirements. It serves as evidence that the employee has been informed about prohibited behaviors, reporting procedures, and their rights and responsibilities regarding workplace harassment.

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Harassment Acknowledgement Form

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What is a Harassment Acknowledgement Form?

The Harassment Acknowledgement Form is a crucial document in U.S. employment practice that helps organizations demonstrate compliance with federal and state anti-harassment laws. This document should be used during employee onboarding, after policy updates, or following harassment training sessions. It typically includes definitions of prohibited conduct, reporting procedures, and anti-retaliation provisions. The form serves both as an educational tool and as documentation that the employee has been informed of their rights and responsibilities regarding workplace harassment.

What sections should be included in a Harassment Acknowledgement Form?

1. Purpose Statement: Clear statement of the document's purpose and importance in preventing workplace harassment

2. Definitions: Comprehensive definitions of harassment types (sexual, racial, religious, etc.) and prohibited behaviors

3. Policy Summary: Overview of company's anti-harassment policies and zero-tolerance stance

4. Reporting Procedures: Detailed steps and channels for reporting harassment incidents

5. Acknowledgement Statement: Employee's formal confirmation of understanding and receipt of the harassment policy

What sections are optional to include in a Harassment Acknowledgement Form?

1. Training Certification: Section for confirming completion of harassment prevention training, required in certain jurisdictions

2. State-Specific Provisions: Additional requirements and acknowledgments specific to state laws

3. Multiple Language Acknowledgment: Confirmation that the employee has received the form in their preferred language

What schedules should be included in a Harassment Acknowledgement Form?

1. Contact Information Schedule: List of relevant HR contacts, reporting channels, and emergency numbers

2. Resource List: Reference list of support resources, helplines, and counseling services

3. Policy References: Complete list of relevant company policies and procedures with reference numbers

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Cost

Free to use
Clauses





















Industries

Title VII of the Civil Rights Act of 1964: Federal law that prohibits discrimination based on race, color, religion, sex, and national origin. Includes key provisions regarding sexual harassment in the workplace.

Age Discrimination in Employment Act (ADEA): Federal legislation that specifically protects workers who are 40 years and older from harassment and discrimination based on age.

Americans with Disabilities Act (ADA): Federal law that provides protection against harassment and discrimination for individuals with disabilities in the workplace.

EEOC Guidelines: Regulatory framework that provides specific definitions of harassment, standards for evaluation, and outlines employer obligations for prevention and response to harassment claims.

State Anti-Harassment Laws: State-specific legislation that may impose additional or more stringent requirements than federal laws regarding workplace harassment prevention and response.

State Training Requirements: Specific state mandates for harassment prevention training, such as California AB 1825 and New York State Human Rights Law requirements.

State Reporting Requirements: State-specific procedures and obligations for reporting harassment incidents and maintaining documentation.

Company Policy Alignment: Internal company policies and procedures that must be reflected in the harassment acknowledgement form while maintaining consistency with federal and state laws.

Statute of Limitations: Time limits for filing harassment claims under various federal and state laws that should be considered in documentation.

Confidentiality Requirements: Legal obligations regarding the confidential handling of harassment complaints and investigations.

Non-Retaliation Provisions: Legal protections for individuals who report harassment, which must be acknowledged in the form.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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