Submit a Grievance to The BAZ Group

Grievance Form

This form is to be used to file a formal grievance. Please answer all questions fully. All supporting documentation must be attached to this grievance form at the time the grievance is filed. Additional information may be requested as necessary. Complaints may be concerns that relate to discrimination, harassment, unfair treatment, contract violations, or unsafe working conditions.

Grievance Details

Name(Required)

First Last

Email(Required)

Phone(Required)

Date Grievance Occurred(Required)

Time and place of event leading to grievance(Required)

Account Occurrence(Required)

Provide a detailed account of the occurrence (including names of persons involved, if any). Include what specific behavior, condition, or violation of policy or procedure occurred which you consider discriminatory, harassing or unfair / violated your rights.

Occurrence Violation(Required)

Please state policies, procedures, or guidelines that you feel have been violated.

Occurrence Resolution(Required)

What is the proposed solution or requested remedy to the grievance?

Attach any supporting documentation

Max. file size: 50 MB.