- Your contact information
- The date
- The recipient's name and title
- A clear subject line
- A concise statement of the grievance
- Specific details and examples
- The impact of the grievance on you
- Your proposed resolution
- Your signature
| Section | Purpose |
|---|---|
| Introduction | State that you are lodging a grievance. |
| Details | Explain exactly what happened, when, and who was involved. |
| Impact | Describe how the situation has affected you. |
| Resolution | Suggest what you want to happen to fix the problem. |