NATSIC-AS
Workplace discrimination or bullying concern

How to use this letter
Describe what happened without treating a label as proof. Distinguish first-hand knowledge, allegations, inference and opinion. Use the applicable workplace complaint process and identify urgent safety or response deadlines separately.

[Date]
To [authorised employer or complaints contact]
From [name, position and safe contact]

Dear [name]

I ask [employer] to assess and respond to the workplace concerns set out below. The matters may involve [bullying / discrimination / harassment / other concern], subject to a fair examination of the relevant facts and framework.

Events and supporting material
For each event record the date, people involved, words or conduct, whether you witnessed it and any document or witness reference. Identify what remains uncertain.

Concern and connection
Explain why the conduct raises concern. If discrimination is alleged, identify the relevant characteristic and the facts supporting the alleged connection. Do not assume a person's reason merely from the outcome.

Impact
Explain relevant work, wellbeing, cultural, family or financial effects. Identify any immediate safety concern without including unnecessary medical or private detail.

Previous actions and responses
Record what you have raised, to whom, when, and any response or alternative explanation. Include material that does not support your own account where relevant.

Outcome and process requested
I seek [specific practical outcome]. Please identify the person managing the concern, the applicable process and expected timeframe. I request [support person, interpreter, accessibility or cultural arrangement]. Please consider [proportionate interim measure] while the matter is assessed, without treating it as a concluded finding against anyone.

Please preserve relevant records and provide a written response by [reasonable requested date], or explain the proposed timetable. I remain available to participate in a fair process.

Yours sincerely
[Name]

Before sending
Check the correct recipient and secure handling of attachments. A workplace complaint does not automatically lodge an external application, protect a limitation date or establish that a statutory test is met.

Source and use information
Original NATSIC-AS advocacy preparation template.
NATSIC-AS provides advocacy, not legal advice or legal services. Check applicable requirements and deadlines before use.