Human Resource Complaint Form

Human Resource Complaint Form

Our company takes all employee complaints as serious matters. So that we may properly investigate your concerns, please fill our this form completely and return it as soon as possible. After an investigation into your complaint, you will be notified of the company's intended action, if any. Should you have any questions about the process, please set them forth at the end of this form and we will do our best to answer them. Thank you.
Your Name

First NameLast Name
Company
Job Title
Store Number
Supervisor Name
1. Please describe in as much detail as possible the nature of your complaint.
2. Please identify all known person, documents and witnesses to your concerns.
3. Are there any other employees you know of with a similar complaint?
4. Please describe how the actions you complain about have affected your ability to perform your job.
5. Please describe any solutions you believe can help resolve your complaint.
6. Please provide any additional matters or comments you wish the company to consider when investigating your complaint.
I declare that the fact set forth in this complaint form are true and accurant pursuant to the penalty of perjury under the laws of this State.
Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: