Employee Complaint
Tell us what happened in the form below.
Company Name
Name of Employee
Date of Complaint
-
Month
-
Day
Year
Date
Supervisor’s name
Describe accurately the details of your complaint and against whom:
Describe how the incident you are complaining about has impacted negatively on your work:
Describe how the company can deal effectively with your complaint:
Give additional comments which you believe will be important during further investigations of your complaint:
Supervisor’s comments:
By signing you declare that all information you have given here is truthful and accurate.
Signature
Submit Complaint
Should be Empty: