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Complaint Form
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Complaint Form
Name of Employee/Victim
*
The Harrassed Person
Division
*
Operations
Maintenance
Parts
Gender Identity
*
Male
Female
Contact Phone Number
*
Date/Period of Harrassment
*
Time of Harrassment
*
Is the harrassing person(s) a supervisor or member of management?
*
-- Please select an option --
Yes
No
Is the harrassing person(s) a member of the riding public?
*
-- Please select an option --
Yes
No
Describe accurately the detail of your complaint and against whom:
*
Any witnessees (Please list):
Describe how the incident you are complaining about has negatively impacted your work:
*
Have you report this inceident to your Supervisor or Member of Mangement.
*
-- Please select an option --
Yes
No
If yes, Whom and When
If Yes to the above question, what has happened since you reported the issue to the company to help resolve the issue?
Describe how yo feel the company can deal effectively with complaint:
Give additional comments which you believe will be important durning further investigation of your complaint:
Do you wish to stay anonymous on this complaint or do you care
*
-- Please select an option --
Yes
No
Don't Care
Submit Form