Internal Complaint form
Name of Person lodging the complaint
First Name
Last Name
Complaint being lodged
Bullying or Harassment
Inappropriate or unprofessional behaviour
Sexual Harassment
Favoritism/exclusion
Other
if other please explain
Who is this complaint about?
Please place details of complaint made below, including times and dates of instances that the above have occured
What would help you feel better about the situation right now
What would help you in the long term in regards to the complaint
Has the issue effected your capacity to work? and how so?
How would you prefer to be contacted in regards to the complaint
Phone
Email
In person with an email follow up
Submit
Should be Empty: