Complaint Report | YourHRSP

Complaint Report Form

Company:

Name of the Complainant:

Department

Phone Number

Name of the Accused:

Department

Relationship of the Accused to the Complainant:

Phone Number

Date of Incident: (If more than one event, please report each event on a separate form.)

Where did the specific event occur?

Please explain the events that occurred.

How did you react to the situation? Did you take any action to stop perceived inappropriate behavior?

Were there any witnesses to this specific event? (If yes, please provide their names.)

What is your desired outcome of the investigation?

The information provided in this complaint is true and correct to the best of my knowledge. I am willing to cooperate fully in the investigation of my complaint and provide whatever evidence HR Service Partners deems relevant.

Your Signature

Today's Date

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