Formal Grievance

Form

Before completing this form, you may want to read the UECS Grievance Procedure.

You should download this form and save it on your computer before completing it.

Employee Details

Surname:	Click to enter text	Forename/s:	Click to enter text
Department:	Click to select	Work Email:	Click to enter text

Informal Resolution

Have you raised your concerns informally with a UECS manager?	Click to select
Please outline the steps that you have taken to resolve your concerns before submitting a formal grievance.
Please detail the reason(s) why you are not satisfied with the informal resolution.

Grievance Details

Please explain the nature of, and grounds for, your grievance, including any detriment you have experienced. Include the name(s) of any individual(s) being complained of (if applicable) and provide supporting evidence for your grievance. This could include emails, references to documents, details of incidents and names of witnesses.
Please state the resolution you are seeking.

Employee Confirmation

I confirm that the information provided is correct.
Name:	Click to enter text	Date Signed:	Select Date …
Signature:
You can sign the form in a number of ways: Upload a JPEG image of your signature, OR Select the date the form is going to be signed from the drop-down calendar, print the form, sign it, then scan it and save it, OR Type ‘submitted electronically’ in the signature box.