Process Improvement/Good Catch/Complaint Form

PLEASE PROVIDE AS MUCH DETAIL AS POSSIBLE

If you wish to remain completely anonymous, do not include your name.  However, without it MCHC may not be able to address the issue effectively. 

WHAT IS THE NATURE OF THIS FORM?

Please report incidents of harassment, bullying, or other unwelcome behavior directly to a Human Resources representative.  The Helpful Policies provide additional info about how to have your concerns addressed.

SITE:
DEPARTMENT OR AREA OF CONCERN:

Comments and Suggestions (Be as specific as possible! Please include the DATE and TIME that the issue occurred.)