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GRIEVANCE FORM Let us know the reasons why you wish to raise a formal grievance by sending this form to your manager, managers’ manager or People Manager. Refer to the grievance policy on OurTesco for more information. Your surname: _________________________________ Your first name: ________________________________ Store Name and Number: ________________________________ Reasons for grievance: General; Health & Safety; Terms and Conditions; or Discrimination & harassment. Please detail below the reason(s) for your grievance (continue on a separate sheet if necessary)
Your Signature:
Date: Internal, December 2015
Stage One Meeting Attended by: Following the meeting: (Please ) I agree to withdraw the grievance I accept the grievance has been resolved I accept a final decision was given I wish to refer the grievance to Stage Two for the following reasons:
Your Signature:
Date:
Stage Two Meeting Attended by: Following the meeting: (Please ) I agree to withdraw the grievance I accept the grievance has been resolved I accept a final decision was given for the following reasons:
Your Signature:
Date:
Internal, December 2015