Support & casework report form
A.
Your details
First name*
This field is required
Surname*
This field is required
Employee Number / ID*
This field is required
Email address*
This field is required
Please enter a valid email address
This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.
B.
Details of the member supported
Forename(s)*
This field is required
Surname*
This field is required
Employee Number / ID*
This field is required
Email address
Please enter a valid email address
This type of email address is internal to LBG and cannot be used externally. Please provide an external email address.
C.
Details of support/advice provided
Did you attend a meeting?*
Yes
No
This field is required
Date of meeting*
DD
MM
YYYY
Please enter a valid date
Date support/advice given*
DD
MM
YYYY
Please enter a valid date
What did your support relate to?*
Select an option
Agile working (including working hours/patterns)
Bullying & harassment
Coronavirus
Disciplinary (including investigations)
Disability
Family leave (including maternity/paternity)
Grievance
Health wellbeing & attendance
Holiday
Performance
Pay
Restructure / redundancy
Other – please specify
This field is required
Other*
This field is required
Please summarise the support you provided to the member. Include the problem or issue, the advice provided and the outcome (if one has been reached).*
This field is required
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