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Worksheet 4.3 — Workplace Interaction & Follow-Up Log

Module 4 · Workplace Rights, Systems & Self-Advocacy

Worksheet 4.3 — Workplace Interaction & Follow-Up Log

Start a log for a real or hypothetical unresolved issue.

Name: ______________________________

Date: ______________________

Log Every Contact Point

  1. Contact — Date/time, issue, person or office, method.
  2. Exchange — Facts communicated, information received, action promised.
  3. Status — Your next action, follow-up date, Pending/Resolved/Escalated.

Scenario: Missing Overtime Pay

  • Contacted: Payroll office, by email, March 3
  • Promised action: Review within 5 business days
  • Status: Pending until confirmed; follow up March 10

Contacted

Promised action

Status

Evolve Workforce Solutions · Life Skills & Workforce Development