Complaint Form

Complaint Form

It's Tooth Club's policy to provide for a healthy work environment. Free from all unethical, unfair conduct, or any forms of harassment, including sexual harassment, and harassment on the basis of race, color, gender, national origin, religion, sexual orientation, age, genetic information, reprisal, parental status, or disability.
Date of Incident:

MonthDayYear
Date
Name

First NameLast Name
Office:
Please describe the incident in detail:
How would you like to see the situation resolved?
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We will review your complaint and determine what, if any, action should be taken. Such action may include an informal inquiry or formal investigation into the harassment allegations, and/or complaints. Any investigation/inquiry will be prompt, thorough, and impartial. We will advise you of the conclusions reached after the investigation or inquiry. If we conclude that harassment has occurred, immediate and appropriate corrective action will be taken.
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