Employee Complaint Form

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* 1. Employee name:

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* 2. Employee phone number (optional):

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* 3. Employee email:

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* 4. Manager name:

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* 5. Manager phone number:

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* 6. Manager email:

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* 7. Department:

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* 8. Date of complaint:

Date

Date

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* 9. Employee statement:

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* 10. Please provide the name and department of the employee(s) involved in the complaint, and their role:

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* 11. Additional comments: