ANNEX F

SERVICE COMPLAINT FORM

  1. Before submitting a service complaint or at the earliest opportunity, you may want to seek the advice of your Assisting Officer (AO) for help in completing this form. This may be an officer, warrant officer, SNCO or civil servant of equivalent grade who can be appointed by your chain of command (cofc) (normally the Specified Officer (SO)) or you can approach somebody yourself. Further details on the role and responsibilities of the AO are at chapter 8.
  1. If possible you should seek advice from the unit Equality and Diversity Advisor (EDA).
  1. If the complaint involves a number of similar, related incidents involving the same respondent, you should submit a single service complaint form. Otherwise, each complaint should be made using a separate form.
  1. In setting out how you allege that you have been wronged, provide the facts as clearly as you can. You must set out:
  1. the date(s), time(s) and location(s). If you cannot remember the date(s) of the incident complained of, you should say so;
  1. the incident itself or, if there was more than one, each of them. If the incident(s) occurred over a period you should say when the period ended or when the latest incident occurred.

5.If your complaint is about bullying or harassment, you should also provide:

  1. details of who you believe is bullying or harassing you;
  2. details of anyone who witnessed the incident(s);
  3. the effect that the incident(s) had on you; and
  4. any attempt you have made to resolve the matter.

6.Regulation 5 of the Armed Forces (Service Complaints Miscellaneous Provisions) Regulations 2015 refers to the type of conduct described below. If behaviour under one or more of these categories is alleged, sections 3 and 4 of the form must be completed;

a. discrimination (in this context, “discrimination” means discrimination or victimisation on the grounds of colour, race, ethnic or national origin, nationality, sex, gender reassignment, status as a married person or civil partner, religion, belief or sexual orientation, and less favourable treatment of the complainant as a part-time employee
b.unlawful harassment;
c.bullying;
d.dishonest or biased behaviour;
e.a failure of the MOD to provide medical, dental or nursing care for
which the MOD was responsible; or
f.the improper exercise by a service policeman of statutory powers as a service policeman;

7.Make clear what redress (outcome) you seek from this complaint. Redress means the action you would like to be taken as a result of your complaint.

8.Once you have completed the form, submit a signed and dated copy to your SO (normally the Commanding Officer).

SERVICE COMPLAINT FORM

To:

Specified Officer (normally the

Commanding Officer)

1. In accordance with Section 340A of the Armed Forces Act 2006, I:

(Service Number, Rank/Rate and Name)

Currently serving at or assigned/attached to (delete as appropriate):

or discharged on: (Date)

Of current address:

claim:

  1. that I have been wronged as set out in paragraph 2 below; and
  1. that I seek the redress specified in paragraph 5 below.

2. I believe that I have been wronged in the following manner:

3. Does your complaint include allegations of bullying, harassment, discrimination or any other allegation specified in regulation 5(2) of the Armed Forces (Service Complaints Miscellaneous Provisions) Regulations 2015 (see paragraph 6a-f above)?

Yes No Please tick as appropriate

If ticked Yes, complete section 4 a – c. (Also complete sections 5 and 6.)

If ticked No, continue straight to section 5 - 6.

4a.State which category (or categories) you consider your complaint falls into (see note 6 a-f), why you believe it falls within that category (or categories) and details of the relevant conduct:

4b. Identify below any person(s) you believe has behaved towards you under a category (or categories) of behaviour you have described in 4a:

4c. Contact details of any witnesses referred to in section 2 of this form:

5. What outcome or redress do you seek from this complaint?

6. Complaints submitted under the Armed Forces (Service Complaints) Regulations 2015 must normally be submitted within 3 months of the date that the matter complained of occurred or of the latest in a connected series of incidents. This time limit is 6 months if your complaint is about discrimination and 9 months if it is about equal pay. Provide an explanation if you think that this complaint is made outside the relevant time limit and say why it should be considered outside the time limit.

I consent to the disclosure of my relevant personal employment/medical information for the purposes of investigating and deciding my complaint.

Note: Relevant supporting documents that you consider would be helpful to the investigation of your complaint should be enclosed and recorded on a separate sheet.

Additional contact details. I may also be contacted on:

I would prefer to be contacted by: post / email / telephone (delete as appropriate)