The Dignity and Respect Procedure must be read before completing this form. Personal Details Name Staff Number Unit Post Title Line Manager Work Address Tel Email Complaint Please provide details of your complaint. This should contain the name of person harassing/bullying you, the nature of the allegation and specific facts such as the date, time and place of the incident(s). The name of any witnesses to the incident(s) should also be recorded Please describe how the incident(s) has affected you and how you felt at the time.
The Dignity and Respect Procedure must be read before completing this form. Personal Details Name Staff Number Unit Post Title Line Manager Work Address Tel Email Complaint Please provide details of your complaint. This should contain the name of person harassing/bullying you, the nature of the allegation and specific facts such as the date, time and place of the incident(s). The name of any witnesses to the incident(s) should also be recorded Please describe how the incident(s) has affected you and how you felt at the time.
dignity-and-respect-complaint-form-20180517.docx