Common use of Submission of Grievance Clause in Contracts

Submission of Grievance. All portions of this section must be completed by the grievant. Employee name Work location Statement of grievance Date and time of alleged grievance Date of informal conference Specific contract provision alleged to have been violated (cite source) Proposed satisfactory resolution Date Signature Upon completion of this section, grievant shall present original, yellow, pink, and green copies to personnel administrator. Goldenrod copy should be retained by xxxxxxxx. Personnel administrator’s response Date Signature PIEDMONT UNIFIED SCHOOL DISTRICT Piedmont, California 94611 Grievance Form - Level III APPEAL TO GOVERNING BOARD All portions of this section must be completed by the grievant. Green copy of completed grievance form - Level II must be attached. Reason for appeal Date Signature Upon completion of this section, grievant shall present original, green, canary, and pink copies to the Superintendent/designee. Goldenrod copy should be retained by xxxxxxxx. Governing Board’s response Date Signature PIEDMONT UNIFIED SCHOOL DISTRICT Piedmont, California 94611

Submission of Grievance. All portions of this section must be completed by the grievant. Employee name Work location Statement of grievance Date and time of alleged grievance Date of informal conference Specific contract provision alleged to have been violated (cite source) Proposed satisfactory resolution Date Signature Personnel administrator’s response Upon completion of this section, grievant shall present original, yellow, pink, and green copies to personnel administrator. Goldenrod copy should be retained by xxxxxxxx. Personnel administrator’s response Date Signature PIEDMONT UNIFIED SCHOOL DISTRICT Piedmont, California 94611 Grievance Form - Level III APPEAL TO GOVERNING BOARD All portions of this section must be completed by the grievant. Green copy of completed grievance form - Level II must be attached. Reason for appeal Date Signature Governing Board’s response Upon completion of this section, grievant shall present original, green, canary, and pink copies to the Superintendent/designee. Goldenrod copy should be retained by xxxxxxxx. Governing Board’s response Date Signature PIEDMONT UNIFIED SCHOOL DISTRICT Piedmont, California 94611