Complaint (Form A) 2025

1. Click ‘Get Form’ to open the Complaint (Form A) in the editor.
2. Begin by filling out the Complainant’s Information section. Provide your full name, postal address, physical address, city, zip code, mobile phone number, home phone number, and email address. If you prefer to remain anonymous, this section can be left blank.
3. Next, move to the Incident Information section. Here, specify the location and date of the incident. Include the time of occurrence and any known details about the employee involved such as their name, badge number, and work unit.
4. In the Narrative of the Incident section, provide a detailed account of what transpired. Be specific about any offensive language used and describe any witnesses present during the incident.
5. Finally, certify that all information provided is accurate by signing in the designated area and including the date.

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