Official Complaint Against Employee Form
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1CONCEPT DESIGN PRODUCTIONS
OFFICIAL COMPLAINT AGAINST EMPLOYEE FORM
EMPLOYEE INFORMATION
Employee Name:
Department
Employee Title:
Supervisior’s Name & Title:
INCIDENT REPORT
Date/Time of Incident:
Location of Incident:
Description of Incident:
WITNESSES TO INCIDENT
1.
2.
SPECIFY WHICH COMPANY POLICY WAS VIOLATED
HUMAN RESOURCES ACTION TAKEN
Individual making the allegation:
Employee Signature _________________________________ Date _______________
Human Resource Acknowledgement of Discipline Documentation Form:
HR Signature ________________________________________ Date _______________
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Parent category: Legal