GRIEVANCE FORM TEMPLATE

1. Name (non-anonymous grievance)

2. E-mail (non-anonymous grievance)

3. Phone number (non-anonymous grievance)

4. Date, time, and place of event leading to grievance

5. Detailed account of occurrence (including names of Solway employees or contractors involved, if any and if possible)

6. People who also witnessed event and could provide additional information

7. Description of ways in which Solway can investigate what happened and obtain possible evidence of occurrence

8. Proposed solution to grievance