Workplace Conflict Employee Formal Complaint Form printable pdf download

Workplace Conflict: Employee Formal Complaint Form

This form is to be used by employees to initiate a formal complaint as outlined in the Super

Restoration Service Co. Employee Handbook / Section 2.5 Employee Grievances

RETURN THIS FORM TO THE DIRECTOR OF HUMAN RESOURCES

This section is to be completed by the person filing the complaint:

Name of Complainant: ____________________________ Title: ____________________

Person (s) identified as part of or causing the conflict/workplace problem

Name (s) _________________________________________________

_________________________________________________________

The problem or issue (please briefly describe / attach additional page if needed)

Include the steps you have taken to solve the problem informally. Be sure to include your

desired outcome or resolution of your complaint.

___________________________________________________________________________

Signature of Complainant: __________________________ Date _____________________

Please list the names of other people with information about the complaint or who have

worked with you to try and resolve the issue:

Name: ______________________

Title: ______________________

Name: ______________________

Title: ______________________

Name: ______________________

Title: ______________________

Workplace Conflict Employee Formal Complaint Form