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(t) Employee Complaint Form
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(t) Employee Complaint Form
Employee Name:
*
- Select -
Asim
Asim Khan
Don Richard
Eliza
Muhammad Shahwani
Muhammad Shahwani
Sami Khan
Department:
- None -
Customer Service
Designing
Production
PRODUCTION
Purchase
Sale
Training
Date of Incident:
*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
Year
2022
2023
2024
2025
2026
Time of Incident::
hour
1
2
3
4
5
6
7
8
9
10
11
12
:
minute
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
am
pm
Location of Incident:
Nature of your Complaint:
*
Regular Wages
Work Schedules
Overtime
Periods of Rest
Public Holiday Pay
Meal Breaks
Annual Vacation Pay
Payroll Records
Pay in Lieu of Notice
Pay Stubs
Minimum Call-out
Payroll Administration
Harassment / Abuse
Infrastructure
Contractual rights
Human rights
Labour rights
Customary rights
Other...
(MONETARY & NON-MONETARY)
Please describe the specific act(s):
Are there others who have witnessed this behavior or others who have experienced a similar concern or problem? If so, please provide their name(s) and phone numbers:
Do you have any suggestion for proposed action to address or resolve the complaint/concern?:
By this submission, I am certifying that the information submitted above is true and correct to the best of my knowledge and belief. All Grievance are processed as per the Corrective Preventive Action system
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