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1. Employee Information: Section for employee details including name, employee ID, department, and position
2. Policy Reference: Reference to the company's complete harassment policy document with its effective date and version number
3. Acknowledgement of Receipt: Confirmation that the employee has received and reviewed the company's harassment policy
4. Understanding of Policy Contents: Statement confirming understanding of key policy elements including definitions of harassment, prohibited behaviors, and reporting procedures
5. Reporting Procedures: Confirmation of understanding the procedures for reporting harassment incidents and knowledge of relevant contact persons/committees
6. Compliance Commitment: Employee's commitment to comply with the policy and maintain a harassment-free workplace
7. Consequences of Violation: Acknowledgement of understanding the consequences of policy violations
8. Signature Block: Space for employee signature, date, and witness signature if required
1. Remote Work Considerations: Additional acknowledgements specific to remote work environments and virtual harassment
2. Third Party Harassment: Specific acknowledgements regarding harassment involving clients, vendors, or other third parties
3. Multiple Language Declaration: Statement confirming the policy was explained in a language understood by the employee, used when the employee is not fluent in the primary policy language
4. Training Completion: Acknowledgement of completing required harassment prevention training
1. Schedule A - Key Contacts: List of relevant contact persons including Internal Committee members, HR representatives, and other reporting channels
2. Schedule B - Summary of Key Policy Points: Bullet-point summary of essential policy elements and prohibited behaviors
3. Schedule C - Reporting Flowchart: Visual representation of the harassment reporting and resolution process
4. Appendix 1 - Definitions: Detailed definitions of various forms of harassment as per applicable laws and company policy
Sexual Harassment
Workplace
Employee
Employer
Internal Committee
Complainant
Respondent
Aggrieved Person
Unwelcome Acts
Hostile Work Environment
Retaliation
Protected Characteristics
Quid Pro Quo Harassment
Digital Workplace
Electronic Communications
Third Party
Workplace Relationships
Victimization
Bullying
Discrimination
Physical Harassment
Verbal Harassment
Visual Harassment
Psychological Harassment
Professional Conduct
Reporting Channels
Confidentiality
Investigation Process
Disciplinary Action
Definitions Acknowledgment
Prohibited Conduct
Reporting Procedures
Investigation Process
Confidentiality
Non-Retaliation
Training Requirements
Disciplinary Consequences
Employee Obligations
Electronic Communications
Third Party Interactions
Internal Committee
Workplace Behavior Standards
Documentation and Record-Keeping
Policy Updates
Complaint Mechanisms
Rights and Responsibilities
Compliance with Law
Signature and Declaration
Information Technology
Manufacturing
Healthcare
Financial Services
Retail
Education
Professional Services
Hospitality
Construction
Transportation
Media and Entertainment
Telecommunications
Real Estate
Energy and Utilities
Non-Profit Organizations
Government Services
Agriculture
Mining
Pharmaceutical
Legal Services
Human Resources
Legal
Operations
Finance
Information Technology
Marketing
Sales
Research and Development
Customer Service
Administration
Production
Quality Assurance
Procurement
Facilities Management
Public Relations
Chief Executive Officer
Managing Director
Department Head
Manager
Supervisor
Executive
Associate
Analyst
Administrator
Coordinator
Specialist
Engineer
Developer
Designer
Consultant
Technician
Officer
Assistant
Intern
Trainee
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