Employee grievance form
An employee grievance form creates a structured record of a workplace concern — unfair treatment, policy violation, working conditions, or other issues. The form collects the employee's name (optional to allow candour), department, incident date, nature of concern, full description, and desired resolution. This becomes an intake record for HR to investigate.
The form beside this text is live. Fill it in and submit it — it validates exactly as it would for a real respondent, and saves nothing.
Optional name field encourages honest reporting
Employees worried about retaliation can file anonymously; those willing to be named can provide context for a swifter investigation. One form accommodates both.
Structured nature dropdown surfaces patterns
Export to CSV and filter by grievance type. If the same category appears repeatedly, that signals a systemic issue — one complaint is feedback; a pattern is a problem.
No card required.
Grievance Form
Live previewHow to build this form
6 steps in the editor. Nothing here needs a paid plan.
- Add an optional text field for the employee's name, so they can raise concerns anonymously if needed.
- Add a required text field for department.
- Add a required date field for when the incident occurred.
- Add a required dropdown for the nature of grievance.
- Add a required textarea for a detailed description of the concern.
- Add an optional textarea for the employee's desired resolution or outcome.
Fields in this form
6 fields, using 4 of the 19 field types available.
| Question | Field type | Required |
|---|---|---|
| Your name (optional) | Short text | Optional |
| Department | Short text | Yes |
| Date of incident | Date | Yes |
| Nature of grievance | Dropdown | Yes |
| Detailed description of the concern | Long text | Yes |
| Desired resolution (optional) | Long text | Optional |
What goes wrong with this form
Specific to a employee grievance form, not general advice about forms.
Requiring the employee's name
A mandatory name field deters employees from raising serious concerns out of fear of retaliation. Make the name optional so employees can choose their own risk tolerance.
No incident date field
Without knowing when the concern occurred, you cannot establish a timeline, identify witnesses, or correlate it with other events.
Treating the form as a legal proceeding
This form is intake only, not a formal hearing or disciplinary process. Serious matters require involvement of HR, legal counsel, and your organisation's formal grievance and investigation procedures.
Questions about this form
What counts as a workplace grievance?
Unfair treatment, policy violations, discrimination, harassment, unsafe working conditions, or any other workplace concern. The form does not judge whether it is "valid" — it captures the employee's concern for HR to review.
Should this form replace our formal grievance procedure?
No. This form is intake only and is not a substitute for your organisation's formal grievance procedure, legal counsel, or a protected/confidential reporting channel. Serious matters — harassment, discrimination, safety violations — must follow formal HR processes.
What if the employee wants to stay anonymous?
Leave the name field optional. Fully anonymous grievances are harder to investigate, but some employees will not come forward any other way.