Common use of GRIEVANCE APPEAL FORM Clause in Contracts

GRIEVANCE APPEAL FORM. Xxxxxxxx's Name Contact Telephone Work Telephone Xxxxxxxx’s Mailing Address City Zip Code _ Name of Xxxxxxxx's ADFAC Representative (if any) Grievant's Work Location: [ ] CC [ ] FC [ ] NOCE Division: Dept/Area: Name of Management Supervisor : INDICATE THE LEVEL OF GRIEVANCE APPEAL: [ ] LEVEL TWO - President/Xxxxxxx [ ] LEVEL THREE - Vice Chancellor, Human Resources REASON FOR APPEAL: Indicate the specific reason(s) for requesting an appeal of this grievance. REMEDY REQUESTED: State the specific action(s) requested of the District which you believe will resolve the grievance. Attach additional pages as necessary. Xxxxxxxx's Signature: Date: DISTRICT RESPONSE TO GRIEVANCE: Attach additional pages as necessary. Authorized District Signature: Date: Notice to Grievant: If you are not satisfied with this response and wish to appeal to the next level, you must submit a completed grievance appeal form (Appendix C-2) to the Vice Chancellor of Human Resources within ten (10) days of receipt of this response. The grievance appeal form must be accompanied by a copy of all processed grievance forms, along with any attachments and other documents of an evidentiary nature. DISTRICT USE ONLY Date Received: APPENDIX D‌ MOU REEMPLOYMENT PREFERENCE FOR 2020/2021, 2021/2022, 2022/2023 AND

GRIEVANCE APPEAL FORM. XxxxxxxxGrievant's Name Contact Telephone Work Telephone XxxxxxxxGrievant’s Mailing Address City Zip Code _ Name of XxxxxxxxGrievant's ADFAC Representative (if any) Grievant's Work Location: [ ] CC [ ] FC [ ] NOCE Division: Dept/Area: Name of Management Supervisor : INDICATE THE LEVEL OF GRIEVANCE APPEAL: [ ] LEVEL TWO - President/Xxxxxxx [ ] LEVEL THREE - Vice Chancellor, Human Resources REASON FOR APPEAL: Indicate the specific reason(s) for requesting an appeal of this grievance. REMEDY REQUESTED: State the specific action(s) requested of the District which you believe will resolve the grievance. Attach additional pages as necessary. XxxxxxxxGrievant's Signature: Date: DISTRICT RESPONSE TO GRIEVANCE: Attach additional pages as necessary. Authorized District Signature: Date: Notice to Grievant: If you are not satisfied with this response and wish to appeal to the next level, you must submit a completed grievance appeal form (Appendix C-2) to the Vice Chancellor of Human Resources within ten (10) days of receipt of this response. The grievance appeal form must be accompanied by a copy of all processed grievance forms, along with any attachments and other documents of an evidentiary nature. DISTRICT USE ONLY Date Received: APPENDIX D‌ MOU REEMPLOYMENT PREFERENCE FOR 2020/2021, 2021/2022, 2022/2023 ANDD‌

GRIEVANCE APPEAL FORM. XxxxxxxxGrievant's Name Contact Telephone Work Telephone XxxxxxxxGrievant’s Mailing Address City Zip Code _ Name of XxxxxxxxGrievant's ADFAC Representative (if any) Grievant's Work Location: [ ] CC [ ] FC [ ] NOCE Division: Dept/Area: Name of Management Supervisor : INDICATE THE LEVEL OF GRIEVANCE APPEAL: [ ] LEVEL TWO - President/Xxxxxxx [ ] LEVEL THREE - Vice Chancellor, Human Resources REASON FOR APPEAL: Indicate the specific reason(s) for requesting an appeal of this grievance. REMEDY REQUESTED: State the specific action(s) requested of the District which you believe will resolve the grievance. Attach additional pages as necessary. XxxxxxxxGrievant's Signature: Date: DISTRICT RESPONSE TO GRIEVANCE: Attach additional pages as necessary. Authorized District Signature: Date: Notice to Grievant: If you are not satisfied with this response and wish to appeal to the next level, you must submit a completed grievance appeal form (Appendix C-2) to the Vice Chancellor of Human Resources within ten (10) days of receipt of this response. The grievance appeal form must be accompanied by a copy of all processed grievance forms, along with any attachments and other documents of an evidentiary nature. DISTRICT USE ONLY Date Received: APPENDIX D‌ MOU REEMPLOYMENT PREFERENCE FOR 2020/2021, 2021/2022, 2022/2023 AND