Employee Complaint

Our company takes all employee complaints—including those of discrimination, harassment, unethical conduct or safety violations, as serious matters. So that we may properly investigate your concern, you are requested to fill out this form completely and submit as soon as possible. After a prompt and thorough investigation into your complaint, you will be notified of the company’s intended action. Should you have any questions about the process, please set them forth at the end of this form and we’ll do our best to answer them. Thank you.

Complainant's Name

Person filing complaint

First Name

Last Name

Complainant's Email

Message

Mobile Phone

(###)

###

####

Employee/Security Guard's Name

Please provide name if known

First Name

Last Name

Date of incident

Please provide the

MM

DD

YYYY

Approximate Time of Incident

put "00" in "Second" Field

Hour

Minute

Second

Property Location

Please provide location of incident

Please describe in as much detail as possible the nature of your complaint

Please attach or identify all known persons, documents and witnesses to your concerns.

Please provide any additional matter or comments you wish the company to consider when investigating your complaint (please use additional paper if needed).

I declare that the facts set forth in this complaint form are true and accurate.

Yes

No

MA1 Security Call Center

If you need to contact us with an urgent matter or you need to report an incident to us, please contact the MA1 Security Call Center.