Grievance Report
Employees can use this form to detail a grievance that occurred while on the job.
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Description
Employee Grievance Report
Fields: employee name, department, title, date of the grievance
Description of the grievance:
Were there any witnesses?
How would you like this matter to be resolved?
Reported to ________________________ on ______________
__________ _____________________________
Date Employee Signature
__________ _____________________________
Date Supervisor Signature
