Member Form: Complaint/Grievance

This form is for employees of FCHR Member Organisations to raise a complaint or lodge a grievance related to the workplace. This report will be sent to a member of the Full Circle HR Team, who will connect with you directly and/or your employer depending on the circumstances. By submitting this form, you are giving us permission to discuss this matter with relevent parties and take appropriate action.

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Report a complaint or lodge a grievance about your workplace

Complaint: Informal expression of dissatisfaction about a specific incident. Often resolved through direct communication with HR assistance. Grievance: Formal complaint against the employer regarding broader issues, which follows a structured process outlined in policies or agreements, potentially involving mediation or arbitration. In short, complaints are informal expressions of dissatisfaction about specific incidents, while grievances are formal complaints about broader issues that follow a structured resolution process.

Your Name(Required)

First Last

Your Employer

Your Position/Job Title

Your Direct Line Manager

How Can We Reach You?

What's the best way for us to talk to you about your report?

Preferred Method of Contact

Your Phone Number(Required)

Your email Address(Required)

Complaint or Grievance

What are you reporting?(Required)

Type of complaint/grievance:(Required)

What was the date, day, time and location that the incident occured?

Description of the Incident(Required)

When this occurred, who was involved, what occurred and where? Has this been repeated behaviour; and if so, the details of these instances. Importantly, please include your desired remedy or outcome.

How has this impacted you?(Required)

Have you needed to take time off work, seek medical attention, attend counselling support or taken other measures as a direct result of this issue? Please include considerations of your physical, mental and emotional wellbeing.

What discussion and/or action has already occured in relation to this matter, if any?

If you've had a dicussion with a co-worker/manager or taken any other action, please provide the details. Please also detail how this has impacted your health and wellbeing.

Witnesses

If relevent, please provide the names and contact information for any witnesses to the incident, including first/last name and at least 1 contact point.

Other important information

Is there anything else you would like us to know? Best time of the day to call you, concerns for safety or other pertinent information relating to this complaint/grievance?