COLLATERAL DUTIES, PROJECTS AND COMMITTEES. Complete special tasks in the manner requested. Report to immediate supervisor specially assigned tasks. Resolve conflict of special assignments with regular work expected by immediate supervisor through immediate supervisor. Submit work by due dates and times, or renegotiate a new date in advance. Follow Department policy, procedures and guidelines in the conduct of these special assignments. EMPLOYEE NAME: DATE: COMMENTS: This report represents my best judgement of the employee’s performance based on my observations and knowledge. Rating Supervisor’s Signature: Date: Employee’s Signature: This report has been discussed with me. Date: Battalion Chief’s Signature: Date: Deputy Chief’s Signature: Date: Fire Chief’s Signature: Date: CITY OF XXXXXXX / IAFF Local 1934 EXHIBIT “E” Employee MOU Grievance Form Step One (Initial) Xxxxxxxx’s Name: Home Telephone Number: Home Address: City: State: Zip: Current Station: Battalion Chief: Job Classification: Shift: Work Telephone Number: REPRESENTATION INFORMATION (Complete if applicable) Representative’s Name: Organization Affiliation: Telephone Number: GRIEVANCE INFORMATION Date of Action Causing Grievance : Date of Discussion with Battalion Chief: Date of Informal Response: GRIEVANCE DESCRIPTION (Clear, concise statement. Attach additional sheet if necessary) SPECIFIC ARTICLE(S) AND SECTION(S) VIOLATED SPECIFIC REMEDY SOUGHT XXXXXXXX’S SIGNATURE DATE FILED GRIEVANCE REVIEW – STEP 1 Date Received: Battalion Chief Signature: Response Date: Reviewer’s Printed Name/Title: Meeting Date: Telephone Number:
COLLATERAL DUTIES, PROJECTS AND COMMITTEES. (continued) Χ Complete special tasks in a manner requested. Χ Report to immediate supervisor specially assigned tasks. E M U CATEGORY COMMENTS
COLLATERAL DUTIES, PROJECTS AND COMMITTEES. ∙ Complete special tasks in the manner requested. ∙ Report to immediate supervisor specially assigned tasks. E M U CATEGORY COMMENTS XIII. COLLATERAL DUTIES, PROJECTS AND COMMITTEES (continued) ∙ Resolve conflict of special assignments with regular work expected by immediate supervisor through immediate supervisor. ∙ Submit work by due dates and times, or renegotiate a new date in advance. ∙ Follow Department policy, procedures and guidelines in the conduct of these special assignments. COMMENTS: This report represents my best judgement of the employee’s performance based on my observations and knowledge. Rating Supervisor’s Signature: Date: Employee’s Signature: This report has been discussed with me. Date: Battalion Chief’s Signature: Date: Deputy Chief’s Signature: Date: Fire Chief’s Signature: Date: CITY OF XXXXXXX FIRE DEPARTMENT PERFORMANCE EVALUATION RATING SYSTEM FIRE PREVENTION OFFICER EmployeeName: Date: Evaluation Period From: To: E = Exceeds Standards Work performance exceeds established Department standards. M = Meets Standards Work performance consistently meets established Department standards. U = Unsatisfactory Work performance has reached or has deteriorated to such a degree that it is clearly and consistently not acceptable by established Department standards. E M U CATEGORY COMMENTS
COLLATERAL DUTIES, PROJECTS AND COMMITTEES. Complete special tasks in a manner requested. Report to immediate supervisor specially assigned tasks. Resolve conflict of special assignments with regular work expected by immediate supervisor through your immediate supervisor. Submit work by due dates and times, or renegotiate a new date in advance. Follow Department policy, procedures and guidelines in the conduct of these special assignments. EMPLOYEE NAME: DATE: COMMENTS: This report represents my best judgment of the employee's performance based on my observations and knowledge.
