File a Complaint
Custom Workforce Solutions LLC
Name
*
First Name
Last Name
Email
*
example@example.com
Type of Complaint (Check all that apply)
*
Workplace Harassment or Discrimination
Safety Concern
Payroll or Benefits Issue
Job Performance or Managerial Issue
Other
Date of Incident
*
-
Month
-
Day
Year
Date
Location of Incident
*
Individuals Involved | Name(s) and Role(s):
*
Description of Complaint:
*
Provide as much detail as possible, including specific events, dates, and actions.
Supporting Documents or Evidence:
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