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  • Employee Grievance Form

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    gpsrathore78
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    An employee has submitted a grievance form detailing an event that occurred at work that they believe violated company policies. The form provides the employee's contact information and account of the incident, including location, date, witnesses, and description of what happened. It also lists which policies they feel were broken and proposes a solution to the issue. The form requires signatures by the employee and a company representative to confirm the grievance was filed.

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    An employee has submitted a grievance form detailing an event that occurred at work that they believe violated company policies. The form provides the employee's contact information and account of the incident, including location, date, witnesses, and description of what happened. It also lists which policies they feel were broken and proposes a solution to the issue. The form requires signatures by the employee and a company representative to confirm the grievance was filed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    15 views2 pages

    Employee Grievance Form

    Uploaded by

    gpsrathore78
    An employee has submitted a grievance form detailing an event that occurred at work that they believe violated company policies. The form provides the employee's contact information and account of the incident, including location, date, witnesses, and description of what happened. It also lists which policies they feel were broken and proposes a solution to the issue. The form requires signatures by the employee and a company representative to confirm the grievance was filed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    EMPLOYEE GRIEVANCE FORM

    GRIEVANT INFORMATION

    EMPLOYEE NAME DATE FORM SUBMITTED

    JOB TITLE EMPLOYEE ID

    EMPLOYEE HOME MAILING ADDRESS WORKPLACE MAILING ADDRESS

    DETAILS OF EVENT LEADING TO GRIEVANCE


    DATE, TIME, AND LOCATION OF EVENT WITNESSES if applicable

    ACCOUNT OF EVENT VIOLATIONS

    Provide a detailed account of the occurrence. Provide a list of any policies, procedures, or guidelines you believe have been
    Include the names of any additional persons involved. violated in the event described.

    PROPOSED SOLUTION

    Please retain a copy of this form for your own records. As the grievant, please provide your signature below, as it indicates that the information you've included on this
    form is truthful.

    SIGNATURES

    EMPLOYEE SIGNATURE DATE

    RECEIVED BY: PRINTED NAME AND SIGNATURE DATE


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