Format to File a Grievance Sample Clauses

The 'Format to File a Grievance' clause defines the required structure and procedure for submitting a formal complaint within an organization or under a contract. It typically specifies the information that must be included in the grievance, such as the nature of the complaint, relevant dates, and supporting documentation, and may outline the acceptable methods of submission, like written or electronic forms. By standardizing the grievance process, this clause ensures that all complaints are presented in a clear and consistent manner, facilitating efficient review and resolution while minimizing misunderstandings.
Format to File a Grievance. Individual grievances shall be referred in writing and signed by the employee prior to the grievance moving to step 2. Class action grievances shall be signed by a union ▇▇▇▇▇▇▇ or representative. Grievances shall include the following: A. The date the grievance was filed; B. Name of the employee/Class Action; C. The facts upon which the grievance is based (i.e.: what occurred, who was involved, when and where it occurred); D. Reference to the section of this Agreement, alleged to have been violated; and the remedy sought.
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Format to File a Grievance. All grievances shall be referred in writing and shall include, the date the grievance was filed, the facts upon which the grievance is based, reference to the section or sections of the agreement, policy, or rights of law alleged to have been violated, and the remedy sought.
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Related to Format to File a Grievance

  • Filing a Grievance Grievances may be filed by the Union on behalf of an employee or on behalf of a group of employees. If the Union does so, it will set forth the name of the employee or the names of the group of employees.

  • Processing of a Grievance It is recognized and accepted by the Union and the Employer that the processing of grievances as hereinafter provided is limited by the job duties and responsibilities of the employees and shall therefore be accomplished during normal working hours only when consistent with such employee duties and responsibilities. The aggrieved employee and a Union representative shall be allowed a reasonable amount of time without loss of pay when a grievance is investigated and presented to the Employer during normal working hours provided that the employee and the Union representative have notified and received the approval of the designated supervisor who has determined that such absence is reasonable and would not be detrimental to the work programs of the Employer.

  • How to File an Appeal of a Prescription Drug Denial For denials of a prescription drug claim based on our determination that the service was not medically necessary or appropriate, or that the service was experimental or investigational, you may request an appeal without first submitting a request for reconsideration. You or your physician may file a written or verbal prescription drug appeal with our pharmacy benefits manager (PBM). The prescription drug appeal must be submitted to us within one hundred and eighty (180) calendar days of the initial determination letter. You will receive written notification of our determination within thirty (30) calendar days from the receipt of your appeal. Your appeal may require immediate action if a delay in treatment could seriously jeopardize your health or your ability to regain maximum function, or would cause you severe pain. To request an expedited appeal of a denial related to services that have not yet been rendered (a preauthorization review) or for on-going services (a concurrent review), you or your healthcare provider should call: • our Grievance and Appeals Unit; or • our pharmacy benefits manager for a prescription drug appeal. Please see Section 9 for contact information. You will be notified of our decision no later than seventy-two (72) hours after our receipt of the request. You may not request an expedited review of covered healthcare services already received.

  • GRIEVANCE REPORT FORM Grievance # School District Distribution of Form 1. Superintendent

  • Statement of Grievance The grievance shall contain a statement of: 1. Specific situation, act or acts complained of as violation of this Agreement, or written rules, regulations or policies; 2. The damage suffered by the employee; and 3. The relief sought.