Our company takes complaints of unethical or unfair treatment as a serious matter. So that we may properly investigate your concern, you are requested to fill out this form as completely as possible. Please use additional space/paper when needed. After a prompt and thorough investigation into your complaint, you will be notified of the company’s intended action. Should you have any questions about the process, please set them forth at the end of this form and we’ll do our best to answer them. Thank you.
By submitting this form I acknowledge that I have read this document and understand my obligation to provide accurate information as needed and cooperate with any investigation of this complaint. Should it become necessary, I authorize the company to disclose my identity and/or details of this report.