Grievance Handling Checklist Form
Please use this checklist to ensure all steps in grievance handling are completed.
Date of Grievance
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name of Complainant
First Name
Last Name
Department
Please Select
Human Resources
Operations
Finance
IT
Sales
Customer Service
Other
Description of Grievance
Investigation Conducted
Yes
No
Resolution Provided
Yes
No
Follow-up Scheduled
Yes
No
Additional Comments
Submit
Should be Empty: