Employee Complaint Form

This form is intended to be used for complaints between co-workers and/or customers. This will allow us to track and improve our process in resolving issues with team members. It's important that we maintain a safe and comfortable workplace for all. It's not always easy to have visibility into all of our challenges, but this will help.
Name(Required)
MM slash DD slash YYYY
Is this the first time you have raised this concern about this person?

I am open to a mediated discussion with this persion