AFGE INVESTIGATION TEMPLATE

LOCAL 477

 Date:__________________

 Employee's Name:___________________________________________________________

 Supervisor's Name:___________________________________________________________

SUMMARY OF COMPLAINT

 What Happened? ________________________________________________________________________________

 Where did it happen? ___________________________________________________________________________

 Why did it happen? _____________________________________________________________________________

 When did it happen? ____________________________________________________________________________

Who else was Involved? Witnesses?  (Include full name and work area, if possible.)

 1.____________________________________________________________

 2.____________________________________________________________

 3.____________________________________________________________

 4.____________________________________________________________

What adjustment is expected?  _________________________________________________________________