Forms

Employee Grievance Form

Our son is nonverbal, but by his body language, we gather that he is proud, happy, he feels accepted and important, and that he belongs to an extended family – Rimland. Rimland nurtures his self-esteem, structures his daily activities, and installs goals. He used to be crabby, but now we often see him smile.

— The Crisostomos Family

Employee Grievance Form

An * indicates a required field.

Employee Name*
Employee Email Address*
Employee Title
- Direct Support Person
- Manager/Supervisor
- Administrative Support
- Director
- I would like to initiate the Agency grievance process according to the Agency personnel manual.
Issue Date:
MM slash DD slash YYYY
Full description of the grievance
- My entire grievance is on this form.
Signature*
Comments
This field is for validation purposes and should be left unchanged.