Client Ethics Report – An Aelieve Website

Client Ethics Reporting Form

Incident Information

Complete This Section With The Incident Information & Client Information Who The Ethics Report Is Being Filed Against.

Company Name

First Name

Last Name

Description Of Incident:

Date / Time

Please Provide Any Supporting Documents (photos/screenshots, files, etc.):

Choose File

Are There Any Involved Parties and/or Witnesses? (please provide names and any additional details)

Is This A Recurring Incident?

Yes

Please Explain (include specific dates, times, and any additional details)

Have You Ever Previously Filed A Complaint Or Provided Information To Management Verbally and/or In Writing Regarding This Incident?

Yes

Who? When? (provide any additional details as needed)

Is There Anything Else You Would Like To Share In Relation To This Incident?

Employee Information (Optional)

If You Wish To Be Contacted Regarding The Situation, Please Complete This Section With Your Information.

First & Last Name (Optional)

Department (Optional)

Supervisor First & Last Name (Optional)

Email (Optional)

I (the employee), by submitting this form, understand that complaints of unethical behavior, discrimination or harassment by a Client, Customer, or other external Parties in violation of Aelieve One, LLC's Harassment & Sexual Harassment Policy will be promptly and thoroughly investigated, and will be treated with the utmost confidence consistent with the resolution of the matter; I have truthfully and accurately submitted the above information, and understand the disciplinary measures that will be taken if my accusations are false; And understand that if the allegations are substantiated, the alleged harasser at fault will be disciplined; I understand that any reprisal or retaliation against any person who reports or threatens to report unethical behavior, discrimination or harassment (in good faith) is prohibited, and in addition, individuals who participate in this complaint process as potential witnesses are assured of non-retaliation.