Employee Grievance Form
Employee Grievance Form
Name
Employee ID
Position
Department
Phone number
Grievance Details
Date of Incident
Location of Incident
Description of the Grievance
Detailed description of the issue or complaint. Include specific details about the incident, the individuals involved, and any relevant circumstances.
Witness' Name 1
Witness' Name 2
Previous Actions Taken
Describe any actions already taken to address the grievance, such as discussions with a supervisor or other attempts to resolve the issue.
Desired Resolution
Supporting Documents
List any supporting documents attached to the form, such as emails, memos, or other evidence related to the grievance.
By signing below, the employee confirms that the grievance details are accurate, and the HR representative acknowledges receipt of the form for review and follow-up according to company policy.
Employee's Name:
Date:
HR Manager's Name:
Date:
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