Workplace Complaint

Why this form exists, and what it will not do

Workplace Complaint is for an employee reporting a problem inside a company. The moment to use it: after you decide a spoken report is not enough, or the handbook requires writing. It sits in the Employment group on Papero. Applications, time records, leave requests, and letters a private employer can read.

Fill it in this browser. Papero does not create an account, does not upload the answers, and does not keep a copy after you close the tab. When the preview looks right, print it or download a PDF. The PDF is built on your device. A blank download leaves the lines empty so someone else can fill them by hand.

Work through the page in order. The You section asks for Your name, Job and site. The Report section asks for Who this is sent to, What happened, Who else saw it, What you want.

Your name. Name. Write "withheld, ask HR" only if the handbook allows an anonymous note. Most do not. Job and site. Where you work. Who this is sent to. Manager or HR.

What happened. Dates, places, words, and acts. Who else saw it. Names, or "no one." What you want. A concrete outcome.

People send this back, or refuse it, for ordinary reasons. There are no dates. You file only on a work account you may lose. You needed an agency charge and thought this replaced it. Read the finished page once as if you were the person receiving it. If a line would make you call back, fill that line.

Sign on the Signature and Date line. A typed name in the signature spot is weaker than ink on a printed page. Date it the day you sign, not the day you hope the other person signs.

What this page cannot do: This is not an I-9, a W-4, a W-9, or a state new-hire form. Those come from the employer and from the agency. Private employment is generally at-will, with a well-known limit in Montana for employees past probation. A letter here does not create a job, end a job, or set the deadline for a final paycheck. That deadline is state law. Papero is not a law firm, not a government agency, and not the office that will accept or reject the paper.

State note for your state. Workplace Complaint does not contain your state's required clauses, font size, language, or filing fee. Counties and cities inside your state sometimes add their own rule on top of the state. Before you rely on this for a lease, a school, a court, a bank, or an agency, compare it with the form that office publishes. If the office has no form, this template is a clear record of what you wrote and what you signed on this date.

After you print, use dark ink. Write "not applicable" on a line that does not apply, so a clerk does not treat a blank as a missing fact. Initial a correction beside the line. Do not cover a dollar amount with correction fluid. Each person who has a signature line signs their own name. One person cannot sign for another unless a statutory power of attorney, on the form that office accepts, already says so. Give the other party a copy the same day. On your copy, note the date and whether you handed it over, mailed it, or uploaded it to their portal. Attach copies of supporting papers, not your only original, unless the office demanded the original. Do not attach a Social Security card, a passport image, or a bank statement unless the recipient told you to, and then only in person or through their secure portal. Email is a common way those images are stolen. If the recipient is a government office, stop and use the form on that office's own site. Papero does not transmit this page, does not notarize it, and does not store it.

Keep a copy. Give the other party a copy. If you later change a fact, fill the form again and date the new copy. Do not scribble a second story into the margin of a page someone already signed. Write the date you handed it over, and how, on your own copy.

Before you rely on it

• There are no dates.
• You file only on a work account you may lose.
• You needed an agency charge and thought this replaced it.

This is not an I-9, a W-4, a W-9, or a state new-hire form. Those come from the employer and from the agency. Private employment is generally at-will, with a well-known limit in Montana for employees past probation. A letter here does not create a job, end a job, or set the deadline for a final paycheck. That deadline is state law.

How to fill and print it

1. Fill the lines. Type into the Workplace Complaint in this browser. Write "not applicable" on a line that does not apply. What you type stays in this tab and is not uploaded.
2. Check the preview. The boxed preview is the page that prints. Read it once as the person who will receive the paper.
3. Print or download. Use Print, or download a filled PDF or a blank PDF. The file is built on your device.

More Employment forms

• Resignation Letter
• Two Weeks' Notice
• Employment Termination Letter

Questions