Company Letterhead
{{company_name}}
{{company_address}}
Phone: {{phone}}
Email: {{email}}
Website: {{website}}
Date
{{date}}
Recipient Information
{{recipient_name}}
{{recipient_title}}
{{recipient_department}}
{{recipient_address}}
Subject
Subject: Formal Complaint Regarding {{subject_of_complaint}}
Introduction
Dear {{recipient_name}},
This letter serves as a formal complaint regarding an issue that occurred on or around {{date_of_incident}} involving {{name_of_involved_party_if_applicable}}.
Detailed Account of the Incident
I am writing to detail the incident that took place on {{date_of_incident}} at approximately {{time_of_incident}} in {{location_of_incident}}. The events unfolded as follows:
{{detailed_description_of_incident}}
{{any_witnesses_or_other_parties_involved_with_their_names_and_roles_if_known}}
Impact of the Incident
The incident has had the following impact on me/my work/the team:
{{description_of_impact_e_g_emotional_physical_professional}}
Previous Attempts at Resolution (if any)
Prior to this formal complaint, I have taken the following steps to address this issue:
{{description_of_previous_actions_taken_and_outcomes}}
Desired Resolution
To resolve this matter, I request the following action(s) be taken:
{{specific_actions_requested_e_g_investigation_training_mediation_disciplinary_action}}
Supporting Documentation
Attached to this letter are copies of any supporting documents, including, but not limited to:
{{list_of_attached_documents_e_g_emails_messages_photos_medical_reports}}
Conclusion
I expect a timely response to this complaint and a thorough investigation into the matter. I am available to meet and discuss this further at your earliest convenience.
Thank you for your attention to this serious matter.
Signature
Sincerely,
{{employee_signature}}
{{employee_name}}
{{employee_id_number}}
{{employee_contact_number}}
{{employee_email_address}}
{{employee_department}}
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