Employee Forms - Custom Workforce Solutions

File a Complaint

Custom Workforce Solutions LLC — Confidential Complaint Form

First Name *

Last Name *

Email *

Phone Number *

Type of Complaint *

Select all that apply

Workplace Harassment or Discrimination

Safety Concern

Job Performance or Managerial Issue

Payroll or Benefits Issue

Other

Date of Incident *

Location of Incident *

Individuals Involved - Name(s) and Role(s) *

Description of Complaint *

Provide as much detail as possible, including specific events, dates, and actions

Electronic Signature *

Type your full name as electronic signature to certify the information above is true and accurate

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