Get Wa Dosh Complaints Form

The Wa Dosh Complaints Form is an essential document for reporting discrimination related to safety and health issues in the workplace. This guide will provide users with clear, step-by-step instructions on how to complete the form online effectively.

Follow the steps to complete the Wa Dosh Complaints Form online

1. Click 'Get Form' button to access the Wa Dosh Complaints Form and open it in your preferred editor.
2. Begin by filling in your personal information, including your last name, first name, middle name, date, phone number, cell number, present address, city, state, zip code, and county.
3. Provide the details of your employer, including their name, business name, address, city, state, zip code, type of business, and county.
4. Indicate your job title and supervisor's name, along with the final wage rate and whether you have filed a grievance.
5. Specify if your employment has been terminated and, if so, select the date. Include the date the grievance was filed and provide the name of your union representative, if applicable.
6. Check the related hazard type (safety, health, or both) and mention if you requested a safety or health inspection. Record the dates of the alleged discriminatory act and when you became aware of the employer's actions.
7. In the description section, clearly detail how you were discriminated against, your opinion on why the employer took that action, and any complaints you or others may have filed with the employer.
8. Provide the results of those complaints and include the names, addresses, and phone numbers of others who have filed a complaint.
9. State if you have filed a complaint with another agency, specify which one, and give details regarding any employee evaluations or reprimands received during your employment.
10. List the names and contact information of witnesses to the alleged acts of discrimination.
11. Certify the information provided by signing your name and filling in the date before mailing the completed form to the specified address.
12. Finally, ensure you have saved any changes, and consider downloading, printing, or sharing the form as needed.

Complete your Wa Dosh Complaints Form online today to address your workplace concerns.