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Employee Complaint Form

Complete the information for the complainant. It is important to include your telephone number in order that an investigator may contact you for additional information or clarification if needed.

List any witnesses to the alleged employee misconduct. Indicate the name of the employee(s) if known. If the name is unknown, provide as much physical description about the employee(s) as possible. List the employee’s vehicle number if known.

Describe the event in detail including date, time and location of the incident.

Pressing the send button on the form indicates that all information is true to the best of your knowledge.

1Complainant Information
2Incident Information
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