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Grievance form

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Grievance template toolkit:
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If an employee wishes to raise a grievance about a workplace issue, they can submit this model form template to you.

This form can be used standalone, or with an accompanying grievance letter.

Reading time
How long to understand and implement this form?
5 mins
Word count
How many words in this form?
177
We also have budget-friendly bundles featuring this template:

What is a Grievance form?

The purpose of this Grievance form is to provide you with a flexible and customisable document to serve as a robust and effective starting point for you.

By using our Grievance form, you can streamline your process, maintain consistency and accuracy, and save time, and it can be easily adapted to fit your specific scenario.

Issued by who, to whom
Who should issue this form, and to whom?
The Employee to the Employer (you)
Applicable legal jurisdictions
In which jurisdictions can this form be used?
Great Britain & NI (United Kingdom), Worldwide

Grievance

Employee name:  
Department:  
Trade Union/Association Rep:  

 

State your grievance in full:  
Explain the steps that you have taken to resolve your grievance:  
Explain the steps that you feel the Company should take to resolve your grievance:  
Have you discussed the grievance with your line manager or supervisor? Yes | No
If yes, explain the outcome of the discussion:  
If no, explain why not:  
Any other issues to mention:  

The above statements are true to the best of my knowledge and I apply for my grievance to be formally investigated under the Company grievance procedure.

Signed:  
Date:  

Version: [1.0]

Issue date: [date]

This is a preview. Access to the remainder requires a purchase.

In which communication or process sequence does this template belong?

This step
Grievance form template
Next step
Letters
Grievance investigation confirmation letter template

Our Grievance Investigation Confirmation Letter ensures a transparent process, confirming receipt and initiation of grievance investigation promptly.

grievance form