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Complaint and Grievance Form

Version 1.0 Updated 3 Jun 2022
Forms & Checklists Manage

Who can use this form?

This form can be used by all employers.


This form provides a means for employees, agents and contractors (referred to as ‘workplace participants’) to put their complaint or grievance in writing.

This form is referred to by the following policies:

  • Anti-Discrimination and Equal Opportunity Policy;
  • Personal Grievance Policy; and
  • Workplace Bullying Policy.


Once a complaint or grievance has been filed with management, it should be acted on promptly and investigated.

Throughout the investigation process, the complaint or grievance should be treated as confidential. However, in some cases, it may be necessary to provide details of the complaint/grievance to other employees or workplace participants so that the matter can be properly investigated. If this occurs, the complainant should be informed that:

  • the grievance will generally be kept confidential and will not be subject to any broad disclosure;
  • however, some of the matters raised will need to be put to the subject of the complaint and any relevant witnesses, so that management can determine the precise events that transpired and provide the subject of the complaint with an opportunity to respond; and
  • any disclosure will be made on the condition that all persons are required to keep the information disclosed confidential. If there is a breach of these confidentiality obligations, disciplinary action may ensue.
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