AGGRIEVED PERSON'S RESPONSE Sample Clauses

AGGRIEVED PERSON'S RESPONSE. I accept the above decision. I hereby refer the above decision to the Superintendent for review. Date of Response Signature of Aggrieved DISTRIBUTION OF FORM: Section 14.2.3 Association Grievant DECISION BY SUPERINTENDENT (To be completed by the superintendent within five (5) working days after receipt of the formal grievance.)

AGGRIEVED PERSON'S RESPONSE. I accept the above decision. I hereby refer the above decision to the Superintendent for review. Date of Response (Signature of Aggrieved) Distribution: Association Representative Immediate Supervisor Association Grievant FORM C Xxxxxx Island School District and Xxxxxx Island Education Association Decision by Superintendent or Designee (To be completed by the Superintendent or Designee within seven (7) days after the Step 2 grievance review meeting) Type or Print: Aggrieved Person Date Appeal Received By Superintendent Date of Step 2 Grievance Review Meeting

AGGRIEVED PERSON'S RESPONSE. (To be completed by aggrieved within 3 days of decision) I accept the above decision and a grievance no longer exists. I hereby refer the above decision to the president of the Association and request that this grievance be submitted to arbitration. Date of Response Signature of Aggrieved APPENDIX D DETERMINATION REGARDING ARBITRATION (Form 5 - To be completed by the Association President and PR&R Committee Chairman within 5 days of receipt of request from aggrieved that grievance be submitted to arbitration -- type or print) Aggrieved Person: Date of Formal Grievance Presentation: Association President: Date Request Received for Arbitration: DETERMINATION BY ASSOCIATION The Association, through its PR&R Committee, has determined that this grievance is not meritorious and/or that submitting it to arbitration is not in the best interests of the school system. The grievance therefore is closed. The Association, through its PR&R committee, has determined that this grievance is meritorious and that submitting it to arbitration is in the best interests of the school system. The grievance therefore is hereby submitted to arbitration. REASONS THEREFORE Date of Determination : Signature of PR&R Chairman Signature of Association President DESIGNATION OF ARBITRATOR (To be completed by Board Chairman and Association President) The parties have agreed upon and selected: (name of arbitrator) as arbitrator to whom the appended grievance is hereby submitted. Date of Determination : Signature of Association President Signature of Board Chairman APPENDIX E HEALTH INSURANCE ELECTION FORM For the past year from July 1, to June 30, , I had the following health insurance coverage pursuant to Article 22 of the Agreement between the Xxxxxx Board of Education (‘‘the Board’’) and the Xxxxxx Faculty Association: Individual Two-Person Family No Coverage Pursuant to Article 22 of the Agreement, I elect the following insurance coverage for the coming year from July 1, to June 30, : PLAN High Deductible Health Plan described in Article 22-1.2 No coverage COVERAGE Individual Two-Person Family Date: Print Name of Teacher Signature APPENDIX F INSURANCE SUMMARY OF BENEFITS