Date investigation was opened:
Investigator(s) name(s):
Name, title and department of accused:
Description of the allegation (include names, location of incidents, times, dates):
Name, title, department of accuser(s):
Interview timeline (include dates and times of interview, location of interview, names of everyone present). Attach interview notes.
Summary of evidence that confirms or denies allegation:
Applicable employer policy (or policies):
Recommended actions for employer to take:
Actual actions taken by employer:
Date accuser was notified of actions taken:
Date accused was notified of actions that will be taken:
Other post-investigation follow-up conversation(s) (include dates, names and topics of discussion). Attach relevant meeting notes.
Date investigation was closed:
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