SCHOOL DISTRICT # 271 GRIEVANCE REPORT FORM Clause Samples

SCHOOL DISTRICT # 271 GRIEVANCE REPORT FORM. PROCEDURE (1) (2) (3) (4) DATE FILED: (circle one to indicate level of Grievance) Name of Grievant Building Assignment A. Date cause of grievance occurred: B. Relevant contract provision, Board Policies, or Administrative regulations of practices: C. Statement of grievance claim (statement of facts upon which the grievance is based-use additional pages if necessary): D. Relief Desired: E. Disposition by the appropriate administrator (attach additional pages if necessary): Signature: Date: INSTRUCTIONS ON NEXT PAGE The purpose of the grievance procedure is to facilitate effective communication between employees and the administrative staff in order to secure, in good faith, equitable solutions to problems which may arise from time to time. Careful attention to contract requirements for a grievance and the proper procedure for completing a grievance form and the filing of the same as hereinafter detailed, will help to insure an expeditious and thorough consideration of each grievance. Grievance report forms may be secured from school building offices and the Association offices, and should be filed at each level of the grievance procedure. 1. Each portion of the grievance report form should be completed fully in as much detail as possible. The statement of facts upon which the grievance is based should include all relevant facts, including details of time, date, place, persons involved and what occurred. 2. Detailed information of the facts involved, the relevant contract provisions, Board policies, or administrative regulations of practices, and the manner in which they are related are extremely important in order to provide a basis upon which a fair, thorough and expeditious decision may be made. 3. Under Section B of the grievance report form those relevant contract provisions, Board policies, or administrative regulations or practices which the grievant contends have been violated, misinterpreted, or misapplied should be specified. 4. Under Section C the grievant should state his/her claim by describing the manner in which the factual contentions are related to the relevant contract provisions and how a violation, misinterpretation or misapplication of the contract, Board policies, or administrative regulations or practices has occurred. 5. Under Section D the grievant should specify the relief which he/she desires as a result of the grievance.