Employee Complaint Form
This form can be completely anonymous. All fields are optional.
Complaint Employee Details
Name
First Name
Last Name
Department
Supervisor Name
First Name
Last Name
Complained Employee Details
Name
First Name
Last Name
Department
Supervisor Name
First Name
Last Name
Complaint Details
Complaint Date
-
Month
-
Day
Year
Date
Location
420 N Penn
2121 S Portland
Other
Which one of the followings is your reason to complain about?
Discriminatory Harassment
Personal Harassment
Psychological Harassment
Cyberbullying
Retaliation
Sexual Harassment
Third-Party Harassment
Quality of communication with colleagues is low
Other
Explain the complaint in detail
Tell your expectations about how the company should approach to your complaint.
Have a photo or video of what you are complaining about? Upload it here.
Browse Files
Cancel
of
Submit
Should be Empty: