Employee Complaint Form

Give your staff a formal, confidential channel for raising workplace grievances. It gathers the facts, how the situation affected the person's work, and the resolution they expect, plus space for supervisor remarks.

Use this template

Company Name

Name of Employee

Date of Complaint

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:

I declare that the information provided in this form is true and complete.

Signature

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