MHC - SheBox

Complainant Information

Full Name *

Employee ID *

Designation *

Department/Section *

Contact Number *

Email Address *

Respondent Details

Name of Respondent

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Respondent's Designation

Respondent's Department

Relationship to Complainant

Incident Details

Date of Incident *

Time of Incident

Location of Incident *

Type of Harassment *

Verbal harassment (unwelcome remarks, jokes, comments) Physical harassment (unwelcome touching, gestures) Visual harassment (inappropriate images, staring) Quid pro quo (demands for favors in exchange for benefits) Other (please specify in description)

Detailed Description of Incident *

Witnesses (if any)

Additional Information

Previous Complaints Filed

Supporting Documents (Optional)

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Relief Sought (Optional)

Review Your Complaint

Complainant Information

Name:

Employee ID:

Designation:

Department:

Contact:

Email:

Accused Person Details

Name:

Designation:

Department:

Relationship:

Incident Details

Date:

Time:

Location:

Types of Harassment:

Description:

Witnesses:

Additional Information

Previous Complaints:

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• Your complaint will be handled by the Internal Complaints Committee
• You will receive a complaint reference number upon submission
• The ICC will contact you within 7 working days
• All proceedings will remain strictly confidential

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High Court of Meghalaya

Sexual Harassment Complaint Form

Complainant Information

Respondent Details

Incident Details

Additional Information

Review Your Complaint

Complainant Information

Accused Person Details

Incident Details

Additional Information

Need to make changes?

Important Information:

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