Cobb County Employee Complaint Form

Cobb County takes all employee complaints—including those of discrimination, harassment, unethical conduct or safety violations, as serious matters. So that we may properly investigate your concern, please complete this form in its entirety and submit to Employee Relations at ER@cobbcounty.org. [Submitting via SeamlessDocs will ensure your complaint reaches this email box.] To review the County’s No Harassment and No Discrimination Policy please find it under Policies on iCobb.

While anonymous complaints are permitted, please be advised that in order for Human Resources to properly investigate your complaint, you may need to provide your contact information.

Employee ID

Employee Name

Employee Contact #

Employee Email

Job Title

Department

Supervisor's Name

1. Please describe in as much detail as possible the nature of your complaint.

2. Please identify all known persons, documents and witnesses relating to your complaint. [You can submit all documentation directly to ER@cobbcounty.org]

3. Are there any other employees you know of with a similar complaint?

4. Please describe how the actions you have complained about have affected your ability to perform your job.

5. Please describe any solutions you believe can help resolve your complaint.

6. Please provide any additional information you’d like us to consider when reviewing your compliant.

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I declare that the facts set forth in this complaint form are true and accurate pursuant to the penalties set forth within Cobb County policies.

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First Name

Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.