Common use of Recognition Awards Clause in Contracts

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000, Xxxxxxx Xxxxxxxx. XXXXXXXX X Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: Xxxxxxxx’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – - FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – - FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000943, Xxxxxxx XxxxxxxxFlorida Statutes. XXXXXXXX X APPENDIX B Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: Xxxxxxxx’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000943, Xxxxxxx XxxxxxxxFlorida Statutes. XXXXXXXX X APPENDIX B Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: Xxxxxxxx’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000, Xxxxxxx Xxxxxxxx. XXXXXXXX X Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: XxxxxxxxGrievant’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000, Xxxxxxx Xxxxxxxx. XXXXXXXX X Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: XxxxxxxxGrievant’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000943, Xxxxxxx XxxxxxxxFlorida Statutes. XXXXXXXX X Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX B Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT SECURITY SERVICES BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, and Security Services, and Special Agent Services bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: Xxxxxxxx’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):

Recognition Awards. The state may grant awards, certificates and other recognition to employees who demonstrate satisfactory service to the state in appreciation and recognition of such service. The cost for such tokens of recognition shall not exceed $100.00. APPENDIX A LAW ENFORCEMENT UNIT - CBU Code 06 Class Code Class Title Broadband Code Occupation 8515 LAW ENFORCEMENT OFFICER 00-0000-00 LAW ENFORCEMENT 8517 LAW ENFORCEMENT CORPORAL 00-0000-00 LAW ENFORCEMENT 8519 LAW ENFORCEMENT SERGEANT 00-0000-00 FIRST-LINE SUPV OF POLICE AND DETECTIVES 8532 LAW ENFORCEMENT AIRPLANE PILOT I 00-0000-00 LAW ENFORCEMENT 8534 LAW ENFORCEMENT AIRPLANE PILOT II 00-0000-00 LAW ENFORCEMENT 8540 LAW ENFORCEMENT INVESTIGATOR I 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8541 LAW ENFORCEMENT INVESTIGATOR II 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8593 SECURITY AGENT – - FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS 8596 SECURITY AGENT SUPERVISOR – - FDLE 00-0000-00 DETECTIVES AND CRIMINAL INVESTIGATORS NOTE: The above classes have been designated special risk for drug testing purposes under Chapter 60L-19, F.A.C. “Special risk” means employees who are required as a condition of employment to be certified under Chapter 633 or Chapter 000, Xxxxxxx Xxxxxxxx. XXXXXXXX X Original to: STATE OFFICIAL - Step 1 2 3* Copies to: Representative (if any) *Circle appropriate step Employee RQ FLORIDA POLICE BENEVOLENT ASSOCIATION STATE OF FLORIDA COLLECTIVE BARGAINING UNITS GRIEVANCE FORM Employee’s Name Class Title Business Address Department or Agency Division or District Business Telephone Bureau or Unit Bargaining Unit NATURE OF GRIEVANCE: (involving interpretation or application of specific provisions of Agreement) DATE ACT OR CONDITION OCCURRED: ARTICLE(S) AND SECTION(S) OF AGREEMENT: (which have allegedly been violated) RELIEF REQUESTED: IF REPRESENTATIVE DESIRED – Name of Grievance Representative: Business Telephone FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information): SIGNED Date Submitted Grievance Representative SUBMITTED TO: Name _Class Title (If space is insufficient to write complete information, attach a separate sheet.) APPENDIX C REQUEST FOR ARBITRATION FLORIDA POLICE BENEVOLENT ASSOCIATION (PBA) FLORIDA HIGHWAY PATROL, LAW ENFORCEMENT, AND SPECIAL AGENT BARGAINING UNITS The Florida Police Benevolent Association [“PBA”], representing employees in the Florida Highway Patrol, Law Enforcement, Security Services, and Special Agent bargaining units, hereby gives notice of its intent to proceed to arbitration with the following grievance: GRIEVANT’S NAME: Attached is a copy of the grievance as it was submitted at Step(s) 1 and/or 2 of the grievance procedure (for disciplinary grievances), or at Step 3 (for contract language disputes), and a copy of the written decision(s) rendered in response to the grievance. I hereby authorize the PBA to proceed to arbitration with my grievance. I also authorize the PBA to use, and to provide to the Arbitrator during the arbitration proceedings, copies of any materials relevant to the issues raised in this grievance although such materials may otherwise be exempt or confidential under state or federal public records law. Representative’s Name: Email address: Phone: Fax: XxxxxxxxGrievant’s Signature: Representative’s Signature: FOR GROUP GRIEVANCES ONLY – The PBA Representative named above has been designated to act as spokesperson and be responsible for processing the above grievance to arbitration. The employees included in the group for which this grievance is filed are identified as follows (identify the group by reference to the employees’ job classification(s), work unit(s), and any other relevant identifying information):