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COMPLAINT: INITIAL REPORT FORM - Welcome to …

W: Administration/ discrimination Log file/Grievance INITIAL REPORT form 1 COMPLAINT: INITIAL REPORT form Name of Complainant:_____ Location: _____ Address_____ Phone #: _____ E-Mail: _____ Date of Occurrence: ____/____/____ Date of Complaint: ___/___/___ Type of Complaint (check one): Employee Misconduct Program/Process Eligibility discrimination Other:_____ Program: WIA JET ES To be Filled Out by Grievance Officer Describe what took place or what caused you to make this investigation. Get all the facts, etc.

W: Administration/Discrimination Log file/Grievance Initial Report Form 2 Specific acts, regulations or other agreements believed to be violated:

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