Grievance Form
Name
*
First Name
Last Name
Email
*
example@example.com
You must provide the following information in the grievance report.
The date, time, and place of the event in question:
*
A specific statement of the written code of conduct, policy, and/or procedure violated. What action or conduct constituted the violation and what happened? Who was involved?
*
The resolution or remedy that you would like to see:
*
Are there any witnesses? Will they testify if needed? If yes, please provide name(s) and contact information.
*
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