APPENDIX E GRIEVANCE FORM. Grievance No. Copy to : Grievant Supervisor Association XXXXXX ESP GRIEVANCE REPORT FORM KCEA/MEA/NEA Name of Grievant: Building Date of Alleged Occurrence: LEVEL I • (Informal Discussion) Date: LEVEL II
APPENDIX E GRIEVANCE FORM. Grievance Form Name Date Section(s) of the Contract that has/have been violated Informal step conducted on (date) Step 1 2 3 4 (circle) Complaint Desired Remedy Step response 1 2 3 4 (circle) Signature Date Position title INDEX A Annual Notice To Employees · 12 Appendices · 61, 62 Classified Employee Performance Summary · 68 Example of Grievance Procedure Timelines · 72 Grievance Form · 73 Instructional Support Evaluation Form · 64 Salary Schedule · 62 B Bereavement Leave · 21 Bilingual Stipend · 15 Bumping Rights · 52 Layoff In Lieu Of Bumping · 53 Salary When Bumping · 53 C California Family Rights Act (CFRA) · 27 Call-Back Time · 8 Call-In Time · 8 Catastrophic Sick Leave Bank · 25 Child Rearing Leave · 24 Classification · 48 Incumbent Rights · 48 Placement In · 48 Reclassification Procedure · 48 Salary Determination · 48 Salary Placement Of Reclassified Positions · 48 Classified Employee Performance Summary · 68 Compensation Regular Rate Of Pay · 10 Compensation · 10 Compensation Paychecks · 10 Compensation Mileage, Meals, Lodging · 10 Compensation Longevity · 11 Compensation Initial Step Placement · 12 Compensation Step Advancement · 12 Compensation Tax-Deferred PERS Contributions · 12 Compensation Promotion · 12 Compensation Temporary Assignment To A Higher Classification · 12 Compensation Annual Notice To Employees · 12 Compensation Health And Welfare Benefits · 12 Compensation Retiree Eligibility For Medical Benefit Option · 13 Compensation Pay For Training · 13 Compensation Recruitment Bonus · 14 Compensation Stipend · 14 Compensation Bilingual Stipend · 15 D Damage/Destruction Of Personal Items · 46 Definitions · 58 Allocation · 58 Class · 58 Class Series · 58 Class Specification · 58 Classification · 58 Classification Study · 58 Job Description · 58 Position · 58 Promotion · 58 Reassignment · 59 Reclassification · 58 Substitute · 59 Transfer · 59 Vacancy · 59 Y-Rate · 59 Disciplinary Action · 35 Disciplinary Procedure · 35 Disciplinary Settlement · 37 Grounds For · 37 Distribution Of Contract · 2 E Early Retirement · 17 Effects Of Layoff · 52 Emergency Medical Inservice Training · 46 Evaluation · 33 Appeal Procedure · 33 Content Not Grievable · 34 Employee Involvement · 33 Evaluation Form · See Appendix B Evaluators · 33 Filing Of · 33 Intent · 33 Responsibility For · 34 Schedule · 33 Unsatisfactory Rating · 33 Example of Grievance Procedure Timelines · 72 Expenses During Temporary Assignments · 40 Extended Illness Leave · 19 F Family Leave Care...
APPENDIX E GRIEVANCE FORM. School STATEMENT OF GRIEVANCE: (Attached) REMEDY REQUESTED: (Attached) Approved for processing: Grievance Number Date of Violation Signature of EA Representative Signature of Grievant (use reverse side for additional signatures if more than one (Grievant) Date: DIRECTOR'S DISPOSITION: (Attached) Date Received: Date of Action: Signature of Director ASSOCIATION'S RESPONSE: Satisfactory Unsatisfactory (Reasons Attached) Date: SUPERINTENDENT'S DISPOSITION: (Attached) Date Received: Date of Action: Signature of Superintendent ASSOCIATION'S RESPONSE: Satisfactory Unsatisfactory (Reasons Attached) Date:
APPENDIX E GRIEVANCE FORM. 1. Grievant’s Name 2. Description of the event giving rise to the Grievance:
APPENDIX E GRIEVANCE FORM. UC/UAW STEP 1 GRIEVANCE FORM Allegations of a violation of the UC/UAW Agreement covering Postdoctoral Scholars must be filed on this form. See the UC/UAW Agreement for details regarding the filing of a grievance. Forms must be submitted to the Campus Labor Relations Office. Pursuant to section 3567 of HEERA, UC shall not agree to resolution of the grievance until the UAW has received a copy of the grievance and the proposed resolution and has been given the opportunity to file a response. YOU MUST PROVIDE THE INFORMATION MARKED WITH AN ASTERISK (*) IN ACCORDANCE WITH ARTICLE 6, GRIEVANCE AND ARBITRATION, OR IT MAY BE INELIGIBLE FOR FURTHER PROCESSING (Form available at xxxx://xxxxxxxxxxxxx.xxxx.xxx/employees/policies_employee_labor_relations/collective_bargaining_units/post_doc s/contract_articles/px-ax-e-grievance-form-112010.pdf. GRIEVANT’S NAME* LAST FIRST MI GRIEVANCE NUMBER (TO BE COMPLETED BY THE UNIVERSITY) BARGAINING UNIT CLASSIFICATION TITLE* (e.g. Postdoctoral Scholar-Employee, Postdoctoral Scholar-Fellow, etc..) GRIEVANT’S HIRING UNI/DEPARTMENT* GRIEVANT’S HOME TELEPHONE NUMBER NAME OF GRIEVANT’S IMMEDIATE SUPERVISOR, TITLE AND TELEPHONE NUMBER NON-UNIVERSITY ADDRESS TO WHICH CORRESPONDENCE MAY BE SENT TO GRIEVANT [OR REPRESENTATIVE’S ADDRESS MAY BE USED] * REPRESENTATIVE’S NAME (IF REPRESENTED) * REPRESENTATIVE’S ORGANIZATION (IF APPLICABLE) * REPRESENTATIVE’S NON-UNIVERSITY TELEPHONE NUMBER REPRESENTATIVE’S MAILING ADDRESS, CITY, STATE, ZIP TYPE OF GRIEVANCE: □ INDIVIDUAL □ GROUP (LIST ALL NAMES) □ UNION SPECIFIC ARTICLE(S) & SECTION(S) OF THE UC/UAW AGREEMENT ALLEGED TO BE VIOLATED* DATE OF ALLEGED VIOLATION(S) * DATE OF INFORMAL STEP DISCUSSION WITHSUPERVISOR IF ANY DATEOF INFORMAL STEP RESPONSE, IF ANY ARE YOU REQUESTING A STEP 1 MEETING □ YES □ NO DESCRIPTION OF ALLEGED VIOLATION OF THE AGREEMENT.* PLEASE DESCRIBE IN DETAIL THE FACTS AND CIRCUMSTANCES (INCLUDING DATES) THAT EXPLAIN HOW THE ARTICLE(S) AND SECTION(S) WERE VIOLATED. (ATTACH SEPARATE SHEET OFPAPER IF NEEDED.) REMEDY REQUESTED* GRIEVANT’S SIGNATURE DATE REPRESENTATIVE’S SIGNATURE (IF REPRESENTED DATE GRIEVANCE REVIEW – PART 2 DATE STEP 1 GRIEVANCE FILED DATE OF UC DECISION DECISION ATTACHED □ YES □ NO WAS A MEETING HELD? □ YES □ NO DATE OF MEETING: STEP 1 DECISION (ATTACHED SEPARATE SHEET OF PAPER IF NEEDED) SIGNATURE OF STEP 1 REVIEWER PRINTED NAME AND TITLE OF STEP 1 REVIEWER TELEPHONE NUMBER FORM FOR APPEAL TO STEP 2 (Appeals may be filled with Campus Labor Relations Office ...
APPENDIX E GRIEVANCE FORM. Grievant School/Site Specify portion of your Association’s Contract Agreement allegedly violated, misinterpreted, or improperly applied: Statement of nature of grievance and summary of specific events which led to the grievance, including date(s) and location: Remedy requested: Xxxxxxxx’s Signature Date APPENDIX F: PAST PRACTICE LIST The following is the list of past practices to be provided under Article 9, Maintenance of Benefits, of the Agreement.
APPENDIX E GRIEVANCE FORM. JOLIET JUNIOR COLLEGE COUNCIL, LOCAL 604, A.F.T. Please fill out the following form in quadruplicate by supplying the necessary information.
APPENDIX E GRIEVANCE FORM. Name of Grievant Building Nature of grievance (description of complaint including relevant date): Contract article(s) alleged to be in violation: Remedy requested: Filed
APPENDIX E GRIEVANCE FORM. D) Intermittent Leave/Reduced Schedule: A bargaining unit member on this type of leave, with the approval of the unit supervisor or designee and the Chief Human Resources Officer, may take reduced or intermittent leave to reduce the usual number of hours per day or work week. Leave for Extended Illness or Disability may be used on a continuous basis, an intermittent basis, or as a reduced work schedule at a prorated level of pay.
APPENDIX E GRIEVANCE FORM. 1. Xxxxxxxx’s Name 2. Description of the event giving rise to the Grievance:
