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Appendix A Complaint/Grievance Form Grievant Information Grievant Name Address Phone City - Alternative Phone I ate I Zip Code Email Person Preparing Complaint Relationship to Grievant if different from Grievant Name V I State Please specify any location s related to the complaint or grievance if applicable Please provide a complete description of the specific complaint or grievance AMERICANS WITH DISABILITIES ACT ADA TRANSITION PLAN FOR PUBLIC RIGHTS-OF-WAY -6- Please state what you think...
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How to fill out appendix a complaintgrievance form

01
Read the instructions carefully before starting.
02
Begin by providing your personal information such as name, address, and contact details.
03
Specify the date on which the complaint/grievance occurred.
04
Clearly state the nature of your complaint/grievance in brief.
05
Provide a detailed description of the incident or situation that led to the complaint/grievance.
06
Include any relevant supporting documents or evidence if available.
07
List down any witnesses who can support your complaint/grievance.
08
Indicate the desired outcome or resolution you are seeking.
09
Sign and date the form.
10
Submit the completed form to the appropriate authority or department as instructed.

Who needs appendix a complaintgrievance form?

01
Anyone who wishes to file a formal complaint or grievance.
02
Individuals who have experienced wrongful actions or behaviors by others.
03
Employees who have concerns or issues within their workplace.
04
Customers or clients who have encountered problems with a product or service.
05
Students who need to address grievances within an educational institution.
06
Any individual who feels the need to voice their dissatisfaction or seek resolution for a particular matter.
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