EAP Grievance Form
A grievance reflects a concern or dissatisfaction with a certain project such as: dispute over land or access, perception of unfair treatment, deviation from major policy or procedures, disturbance to environment and cultural circumstances or an event perceived to cause harm to a person’s livelihood, health or property.
1. Complainant Information
If you wish to remain anonymous do not complete items 1.1-1.5

1.1 Name of Complainant
1.2 Complainant relationship to EAP
1.4 Complainant Telephone
1.5 Complainant Address
2. Statement of Grievance
2.1 Name of individuals involved *
2.2 Date grievance occurred *
MM
/
DD
/
YYYY
2.3 Location where grievance occurred *
2.4 Please write the nature of all facts of the grievance (what happened before, during and after, why the grievance happened, etc.) *
3. Legal, Contract, Policy or Procedural Violation
Please list which law, contractual clause, policy or procedure was violated (if any)


4. Remedy Sought
Please write what remedy you would propose (if any).






Submit
Never submit passwords through Google Forms.
This form was created inside of East African Power. Report Abuse