Employee Grievance Form

* Employee Name

* Employee Job Title

* Email Address

* Phone Number

* Team

* Country/State

* Manager Name

* Manager Phone Number

* Names Of Other Person(s) Involved

* Other facts regarding the action or decision that caused the grievance

* Relief sought (be specific)

* Required Field

Discrimination / Harassment	Dissatisfied with Peers/Co-workers
Dissatisfied with Supervisor	Favoritism / Nepotism
Lack of Resources / Equipment	Lack of Training
Misrepresentation / Misleading information	No Opportunity for Upward Mobility
Not Valued / Rewarded	Other
Termination Appeal	Theft / Unethical Act
Unfair Amount of Work	Unfair Benefits / Wages
Unfair Hours / Schedule	Unsafe working conditions