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Dear ________,

RE: FORMAL GRIEVANCE

Employee: ________
Job title: ________
Department / location: ________
Date employment commenced: ________

§ 1. Purpose of this letter

1.1. I am writing to raise a formal grievance in accordance with your organisation's grievance procedure and the principles set out in the ACAS Code of Practice on Disciplinary and Grievance Procedures (issued under section 199 of the Trade Union and Labour Relations (Consolidation) Act 1992). I should be grateful if this matter were dealt with under that procedure.

1.2. I consider this matter to be sufficiently serious to warrant formal investigation and resolution.

§ 2. Previous attempts to resolve the matter

2.1. I previously raised these concerns informally on ________ with ________. Regrettably, the matter has not been satisfactorily resolved, which is why I am now raising it formally.

§ 3. Details of the grievance

3.1. The grievance arises out of a series of incidents I have experienced in my role of ________ at ________. The full details, including relevant dates, persons involved and any witnesses, are as follows:

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§ 4. Why this amounts to a formal grievance

4.1. I believe these matters amount to a formal grievance for the following reasons:

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§ 5. Breach of policy and legal obligations

5.1. I consider that the incidents described above are in breach of the following workplace policies and/or contractual terms:

________

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§ 6. Resolution sought

6.1. In order to resolve this grievance, I would like the following action to be taken:

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§ 7. Right to be accompanied

7.1. I should be grateful if you would acknowledge receipt of this letter and arrange a grievance meeting at the earliest opportunity, and in any event without unreasonable delay, to discuss this grievance and the steps that can be taken to resolve the matter.

7.2. In accordance with section 10 of the Employment Relations Act 1999, I wish to exercise my statutory right to be accompanied at any grievance meeting. I would like ________ (________) to attend in that capacity.

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§ 8. Documents enclosed

8.1. I enclose the following documents in support of this grievance:

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I look forward to hearing from you in due course.

Yours faithfully,

_______________________________

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Signature: ________
Date: ________