Submit a Complaint

Complete the form below to lodge a complaint with NEC Medical. You will receive an SMS with your case number.

Employer Details

Select Employer *

Employer Contact Person (optional)

Full Names

Phone 1

Phone 2

Employer Legal Representation (optional)

Full Names

Phone 1

Phone 2

Employee Details (Your Details)

First Name *

Last Name *

National ID

Occupation

Grade

Trade Union

Phone Number *

Landline

Email Address

Address

Employee Legal Representation (optional)

Full Names

Phone 1

Phone 2

Case Details

Start Date

End Date

Salary

Currency

Nature of Case

Sector

District

Branch

Nature of Work

Nature of Contract

Complaint(s) *