KidVoice™
Official Complaint Bureau
📋 OFFICIAL
COMPLAINT FORM
COMPLAINT FORM
😤 The Complainer (You!)
Your Name
Age
Your Role / Title
e.g. "Customer", "Little Sister", "CEO"
😬 The Accused
Their Name
Their Role / Title
Relationship to You
e.g. "Big Brother", "Classmate", "Dog"
🗂️ Category of Complaint
Unfair treatment
Bad service
Someone ate my food
Broken promise
Too loud / annoying
Not fair!
Property damage
Didn't share
Other
🌡️ Seriousness Level
Circle the face that matches:
🙄
Minor
😟
Annoying
😠
Bad
😡
Very Bad
🤬
SERIOUS
Date & Time It Happened
Location
📝 What Happened? (The Full Story)
Be specific! Who, what, when, where. The more detail, the stronger your case.
🔍 Evidence
Photo / drawing
Written note
Broken item
Text / email
Describe Evidence
👀 Witnesses
Witness 1
Witness 2
Witness 3
⚖️ What I Want to Happen (Resolution)
Circle all that apply:
😔 An Apology
💰 Repayment
🔄 Fix the Problem
🤝 A Fair Deal
🚫 Stop the Behavior
Other / Details
📌 For Official Use Only (Parent / Teacher / Boss)
Case # / Reference
Decision
Reviewed By
Date Resolved
✍️ Complainant Signature
Sign here (you!)
📋 Reviewer Signature
Parent / teacher / manager