GRIEVANCE REPORT FORM Sample Clauses

GRIEVANCE REPORT FORM. Grievance # School District Distribution of Form 1. Superintendent
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GRIEVANCE REPORT FORM. Grievant Date Filed School Subject Area or Grade
GRIEVANCE REPORT FORM. Grievance No. School District To: (Name of Principal) Complete in triplicate with copies to: 1) Principal 2) Superintendent/Assistant Superintendent
GRIEVANCE REPORT FORM. PLEASE PRINT OR TYPE A copy of this form must be sent to the O.L.C. Office - IMMEDIATELY Please have your Associate call your Staff Representative when filing a grievance Name of Grievant Badge No. Grievant address City , State, Zip: Grievant Phone #: Grievant Email: Grievant Cell #: Classification Assignment Shift Date of appointment Immediate Supervisor at time of incident O.L.C. Representative Date and time Grievance first discussed with Date and time Article and section number of contract violation Statement of grievance (Give times, dates, who, what, when, where, why, and how): Remedy requested: Date and time STEP ONE Received by Date and time Respondent Name and Title Date of meeting Time Place Step one response Name and Title Date and Time Received by Date and Time ANSWER IS: Accepted Rejected STEP TWO if applicable Received by Date and time Respondent Name and Title Date of Meeting Time Place Step two response Date and Time Received by Date and Time ANSWER IS: Accepted Rejected STEP THREE (if applicable) Received by Date and time Respondent Name and Title Date of Meeting Time Place Step three response Date and Time Received by Signature Date and Time ANSWER IS: Accepted Rejected STEP FOUR if applicable Received by Date and time Respondent Name and Title Date of Meeting Time Place Step four response Signature and Title Date and Time Received by Date and Time ANSWER IS: Accepted Rejected F.O.P./O.L.C. intention to arbitrate (Yes) (No) Signature APPENDIX A (CONTINUED) APPENDIX A
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GRIEVANCE REPORT FORM. Procedure (1) (2) (3) (4) Date Filed (Circle one to indicate level of grievance.) Name of Grievant Building Assignment
GRIEVANCE REPORT FORM. Aggrieved Person Date Filed School Subject Area or Grade
GRIEVANCE REPORT FORM. Grievance # School District Distribution of Form 1. Superintendent GRIEVANCE REPORT 2. Principal 3. Association Submit to Principal in Duplicate 4. Teacher Building Assignment Name of Grievant Date Filed (Level 3) LEVEL 3
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