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Team Member - Complaint Form

Personal Information

Name

Email

Department

Position

Complaint Information

Please fill your detailed complain information.

Date of incident

Time of incident

Individual(s) Involved

Description of Complaint - Required

Please provide a detailed description of the incident or situation that led to the complaint. Include any relevant facts, names of individuals involved, and any actions taken to address the situation. Please attach additional sheets if more space is needed.

Optional - if there are there any supporting documents, such as emails, letters, or photographs. Please attach them to this form:

Confidentiality Preferences

Please indicate your preference regarding confidentiality. Tick the box that applies.

Untitled checkboxes field

I prefer to keep my complaint confidential, to the extent permitted by law and organizational policies.

I do not object to my name being disclosed during the investigation of this complaint.