SHARED LEAVE TRANSFER FORM. I authorize the Olympia School district to transfer hours of my eligible earned sick/annual Leave for: Unrestricted Pool Donation Specific Donation For: PRINT NAME By PRINT YOUR NAME Bldg. Location Date By: Payroll Supervisor APPENDIX D -- Grievance Review Request Form Olympia School District No. 111 Grievance Review Request Form This form is to be utilized when referring a grievance to the Superintendent as provided in Step 2 of the Procedure. Name of Grievant: Dates of private conferences as provided in Step 1: Name of Administrator with whom conferences were held:
SHARED LEAVE TRANSFER FORM. I authorize the Olympia School district to transfer hours of my eligible earned sick/annual Leave for: Unrestricted Pool Donation Specific Donation For: PRINT NAME By PRINT YOUR NAME Bldg. Location Date By: Payroll Supervisor APPENDIX I Accident Report (Article III, Section 7) APPENDIX J Self Insurer Accident Report (Article III, Section 7) APPENDIX K Contract Waiver Request (Article III, Section 18) School: Date: Contract provision(s) to be waived: Proposed change(s) to the contract: A copy of the results of a secret ballot vote (see Article II, Section 18 for vote procedure) signed by the principal and head OEA Building Rep must be included with the application. Waivers must be approved by the OEA Executive Board and the Superintendent or his/her designee. Notification of acceptance will be sent to all staff and the principal following approval. (Article III, Section 18) (Please make extra copies of this form: original to OEA, 1st copy to Human Resources Office, 2nd copy to school building representative, additional copies to all building bargaining unit members.) Waivers are for one year only APPENDIX L DUE PROCESS CONFERENCE FORM (Article III, Section 2) Olympia School District Due Process Conference Form Employee’s Name: Supervisor’s Name: We affirm that a Step I conference was held on this date: See Article III, Section 2, Right to Due Process Briefly summarize the discussion below: Employee’s Signature: My signature below indicates that I have seen this summary. It does not necessarily indicate agreement with the findings. I know that I am permitted to attach a written response, which shall accompany this report. Supervisor’s Signature: APPENDIX M DAMAGE CLAIM FORM (Article III, Section 4) School: Name: Date: Items Stolen, damaged or destroyed: Cost Briefly explain the circumstances that caused the claim: My personal insurance deductible limit is: I attest that the damage to the property was not caused as a result of personal negligence and all information presented is true. Employee Signature Principal Signature Date Date One copy of the form should go to the Director of Human Resources, one to OEA and the other to the employee. APPENDIX N GRADE CHANGE APPEAL PROCESS (Article III, Section 3) If a student grade is changed the building administrator must notify the teacher within three working days. The teacher has the right to appeal the change. The request must be made in writing to the building principal within three working days of his or he...
