HR COMPLAINT / CONCERN FORM

 

Name *
Name
If you wish to remain anonymous, please write "Anonymous" in both the first and last name fields.
Where did this take place?
Date *
Date
Please provide a date of the incident.
Please provide an estimated time of the incident.
Please provide an estimated time of the incident.
Please describe the incident in detail and any other relevant information.
Were there any witnesses to the incident? *
If yes, please list those who witnessed the incident.
Have you notified anyone of the incident? *
If you notified someone, please indicate who and when you notified them.
Please indicate what remedy or resolution to the complaint or concern that you would like to see.