Forms & requests

Grievance form: workplace concerns

Many concerns can be sorted out with a quick conversation, and that’s a good first try. When it can’t, this starts the formal process from the Employee Handbook. Each step gets a written response within 5 working days.

Step 1: Your supervisor
Step 2: Executive Director
Step 3: CEO (final decision)

No retaliation. Demo doesn’t allow retaliation against anyone who raises a concern in good faith, files a grievance, or takes part in an investigation. If your concern is about your supervisor, or about discrimination, harassment, or retaliation, it skips your supervisor and goes straight to the Executive Director.

Your name

Your position

Your supervisor What is it about?

This will be investigated promptly. You also have the right to file with the U.S. Equal Employment Opportunity Commission at eeoc.gov.

Does this concern your supervisor?

No Yes

It will go to the Executive Director instead, and your supervisor won’t be emailed about it.

When did it happen? (the most recent date, if ongoing) What happened?

Facts, in order: what happened, who was involved (by role), and how it affected your work. No client names. Describe them by role only, e.g. “an IOP client.”

Others involved or witnesses (optional) What would resolve this for you? Have you already tried to talk it through informally?

Yes No

Only Demo staff take part in the grievance process. Grievances are kept confidential and shared only with the people handling them.

Grievance form: workplace concerns

Your grievance was filed.