Workplace Psychological Harassment Report Form

Report Workplace Psychological Harassment Professionally and Confidentially

Psychological harassment and emotional abuse in the workplace can have serious impacts on employee wellbeing, productivity, and organizational culture. This Workplace Psychological Harassment Report Form provides a structured, professional way for employees to document incidents, patterns of behavior, and the impact on their mental health in a confidential setting.

Whether you're an HR professional supporting your team or an employee seeking to formally document workplace concerns, this template helps you capture the detailed information needed for thorough investigation and resolution.

What Makes This Template Essential for HR Teams

This form template is designed specifically for organizations that take workplace psychological safety seriously. It provides:

• Structured incident documentation that captures dates, witnesses, and specific behaviors
• Pattern recognition fields to identify repeated or escalating harassment
• Mental health impact assessment to understand the full scope of harm
• Support resource tracking for counseling and employee assistance programs
• Confidential submission process that respects reporter privacy while ensuring accountability

Key Features for Comprehensive Reporting

The template includes sections for detailed incident descriptions, identification of emotional abuse patterns (intimidation, isolation, humiliation, gaslighting), documentation of any medical or counseling support sought, and space to describe the hostile work environment created by the behavior.

With Paperform's conditional logic, the form adapts based on responses—asking for additional detail where needed while keeping the process manageable for distressed employees. You can customize confirmation messages to provide immediate support resources and next steps.

Streamline Your Investigation Process with Automation

Connect this form to your HR case management system using Stepper to automatically create investigation tickets, notify appropriate personnel based on severity, and maintain a secure audit trail. Integration with your employee assistance program or counseling services ensures reporters get immediate access to support resources.

Use Paperform's AI Insights to identify trends across multiple submissions, helping you spot systemic issues, problematic managers, or departmental culture problems before they escalate.

Trusted by HR Professionals for Sensitive Reporting

This template is built on Paperform's SOC 2 Type II compliant platform with data residency controls and enterprise-grade security—essential for handling sensitive employee complaints. Set up role-based access so only authorized HR personnel can view submissions, and use custom domains for a professional, trusted experience.

Whether you're supporting a team of 50 or 5,000, this workplace harassment form template gives you the structure and security needed to handle psychological safety concerns with the seriousness they deserve.