GRIEVANCE SUBMISSION FORM
Employee Information: |
Name: | [YOUR NAME] |
Position: | [POSITION] |
Department: | [DEPARTMENT] |
Grievance Information: |
Date of Incident: | [DATE] |
Location of Incident: | [LOCATION] |
Details of Grievance: | [DETAILS] |
Have any steps been taken to resolve the issue? | [YES/NO] |
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: _______________________
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