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Complaint Record Form Date: Department/Division: Student Name: ID: Nature of Complaint: Resolution (Action Taken or Recommended): Student Agreeable to Resolution: Yes No Employee Name and Position:

How to fill out complaint record form

How to fill out a complaint record form:

1. Start by writing your personal information, such as your name, contact details, and any relevant identification numbers (if applicable).
2. Provide the date and time of the incident or issue that you are submitting a complaint about.
3. Describe the incident or issue in detail, including any relevant facts, dates, and locations, as well as any witnesses or supporting evidence.
4. Specify any parties involved in the incident or issue, such as individuals, organizations, or companies.
5. State your desired outcome or resolution for the complaint, such as compensation, an apology, or a change in policy or procedure.
6. Sign and date the complaint form to indicate that the information provided is accurate to the best of your knowledge.

Who needs a complaint record form?

1. Individuals who have experienced a negative or unsatisfactory incident or issue with a product, service, or organization.
2. Employees who need to report incidents of harassment, discrimination, or other workplace misconduct.
3. Customers or clients who want to submit a formal complaint about a business, such as poor customer service or a faulty product.
4. Students who need to document incidents of bullying, harassment, or academic misconduct.

Note: The specific individuals or organizations that require a complaint record form may vary depending on the context and purpose of the complaint.

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