Harassment Acknowledgement Form Template for Belgium

The Harassment Acknowledgement Form is a mandatory document in Belgian workplaces, designed to comply with federal anti-harassment legislation, including the Well-being at Work Act and associated Royal Decrees. This document should be implemented during employee onboarding and updated whenever significant policy changes occur. The form serves multiple purposes: it educates employees about different types of harassment, confirms their understanding of company policies and reporting procedures, and provides legal protection for both employers and employees. The document typically includes definitions of harassment, prohibited behaviors, reporting mechanisms, and non-retaliation provisions, all aligned with Belgian legal requirements. It's particularly important in the context of Belgium's multi-lingual work environment, often requiring availability in French, Dutch, and sometimes German.

1. Document Title and Date: Clear identification of the document as a Harassment Acknowledgement Form, including date of issuance and document version number

2. Employee Information: Fields for employee name, ID number, department, and position

3. Purpose Statement: Clear statement of the document's purpose and the company's commitment to maintaining a harassment-free workplace

4. Definitions: Comprehensive definitions of different forms of harassment (moral, sexual, discriminatory) as per Belgian law

5. Prohibited Behaviors: Detailed list of behaviors that constitute harassment under company policy and Belgian law

6. Reporting Procedures: Step-by-step process for reporting harassment, including contact information for relevant personnel and prevention advisors

7. Non-Retaliation Statement: Clear statement that retaliation against anyone who reports harassment is prohibited

8. Consequences: Overview of potential disciplinary actions for policy violations

9. Acknowledgment Statement: Employee's confirmation of reading, understanding, and agreeing to comply with the policy

10. Signature Block: Space for employee signature, date, and witness signature if required