Staff Complaints Form Updated: 26 April 2018 Page 1 of 4
Your Dean/Director’s name:
Representative Details (if required):
You may have a Representative support you. A Representative is a person to assist, accompany and support them in their participation in
matters relating to a complaint in line with the Discrimination, Bullying and Harassment Policy and Procedure for Staff and Affiliates. A
representative may be a staff member; or delegate or staff member of a union that is negotiated in the Enterprise Agreement and not a
practicing solicitor or barrister.
Relationship to you:
Information about managing formal complaints is outlined in the Discrimination, Bullying and Harassment Policy and
Complaint Procedure for Staff and Affiliates. You can also speak to an Equity Contact Officer who can provide
information and referral options in relation to your issue or complaint.
The intention of this form is to help define your complaint, and inform what you have done to resolve the issue prior
to making a formal complaint. It will provide you with guidance on the types of information needed to resolve your
complaint. Please note; if there is more than one complainant, each complainant must complete a separate form.
Once completed, please submit this form to your supervisor / next level manager and to your divisional Human
Resources Business Partner. Acknowledgement of your complaint will be in writing from the supervisor/next-level
Discrimination, Bullying and Harassment– Staff
and Affiliates Formal Complaint Form
Human Resources Directorate
• Please refer to the Discrimination, Bullying and Harassment Policy and Discrimination, Bullying
and Harassment Complaint Procedure for Staff and Affiliates.