Employee complaint form
Please complete this form clearly and honestly. Your complaint is confidential and is seen only by management and those who need it for the investigation. You will not be treated unfairly for making a complaint in good faith.
Your details
| Name | ……………………… |
|---|---|
| Job title | ……………………… |
| Department | ……………………… |
| Mobile or email | ……………………… |
| Date submitted | ……………………… |
The incident
| Date and time of the incident | ……………………… |
|---|---|
| Place | ……………………… |
| Other person(s) involved | ……………………… |
What happened, in detail
Witnesses (if any)
Attachments (documents, photos, messages)
- ☐ Yes
- ☐ No
What outcome are you asking for?
I confirm that the information in this form is true to the best of my knowledge.
Signature
Signature
Date
For HR use
| Case no. | ……………………… |
|---|---|
| Date received | ……………………… |
| Received by | ……………………… |
Prepared with the free HR document library of Thabet HR Advisory. General structure for Saudi employers, not legal advice.