Free Grievance Submission Form HR Template
GRIEVANCE SUBMISSION FORM
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Employee Information: |
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Name: |
[YOUR NAME] |
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Position: |
[POSITION] |
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Department: |
[DEPARTMENT] |
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Grievance Information: |
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Date of Incident: |
[DATE] |
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Location of Incident: |
[LOCATION] |
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Details of Grievance: |
[DETAILS] |
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Have any steps been taken to resolve the issue? |
[YES/NO] |
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If yes, please provide details: |
[DETAILS IF ANY] |
Confidentiality
Your grievance will be handled with the utmost confidentiality. Please note that the organization will only disclose information on a need-to-know basis for investigation and resolution purposes.
Acknowledgment and Follow-Up
Upon receipt of your grievance, the organization will acknowledge it within 7 business days and provide an estimated timeline for resolution.
Declaration
I hereby declare that the information provided in this Grievance Submission Form is accurate and complete to the best of my knowledge.
Complainant's Name: [Your Name]
Signature: _______________________
