Common use of Statement of Grievance Clause in Contracts

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: (These courses require this form to be submitted and will be applicable towards column advancement.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-2018

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: (These courses require this form to be submitted and will be applicable towards column advancement.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ G‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-2018

Statement of Grievance. This statement shall be a clear, concise statement Date of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back Alleged Grievance Specific Contract Provision(s) Alleged to have been Violated Remedy Sought Grievant’s Signature Date - Attach additional pages if needed) _ _needed - IMMEDIATE SUPERVISOR’S RESPONSE TO LEVEL ONE GRIEVANCE To Grievant Your Grievance is Approved Denied Immediate Supervisor’s Reasoning _ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature Recommendations for Avoidance of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ _Future Problems _ _ _ Immediate Supervisor’s Signature of Superintendent or Designee Date of Signature Date: - Attach additional pages if needed – LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPONTWO APPEAL TO DIRECTOR, HUMAN RESOURCES/EQUAL EMPLOYMENT OFFICER I appeal my supervisor’s response to my grievance to Level Two for the following reasons: _ _ _ DATE OF HEARING_ _ Grievant’s Signature Date - Attach additional pages if needed - DIRECTOR, HUMAN RESOURCES/EQUAL EMPLOYMENT OFFICER RESPONSE TO LEVEL TWO GRIEVANCE To Grievant Your Grievance is Approved Denied Director’s Reasoning _ _ _ HR Director/EEO’s Signature Date - Attach additional pages if needed - LEVEL THREE APPEAL TO CSEA TO SUBMIT GRIEVANCE TO LEVEL THREE I request that CSEA submit my grievance to Level Three for the following reasons: _ _ _ Grievant’s Signature Date_ - Attach additional pages if needed - CSEA’S DECISION ON ARBITRATION To Director, Human Resources/Equal Employment Officer. CSEA (Name) has decided to appeal to Level Three and has selected: Direct Appeal to Governing Board Advisory Arbitration Our reasoning for the appeal is _ _ CSEA Representative Signature Date Name (Print) - Attach additional pages if needed - APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - H‌‌ SAFETY‌ District Responsibility: The District and CSEA agree that compliance with health, safety and sanitation laws and regulations is a District responsibility. The parties’ intent is to work cooperatively toward meeting that responsibility. Safe Employment: The District will not require employees to perform unsafe acts, use unsafe equipment, or perform their duties in an unsafe environment. Safety Notice: Employees are responsible for submitting written notice of perceived unhealthy, unsafe and/or unsanitary conditions to their immediate supervisors as soon as the problem becomes apparent. The notice must identify the unsafe condition and the employee’s recommendation for correction, if the employee has one to recommend. Response to Safety Notice: The immediate supervisor will provide a written response, including the remedial action taken or recommended (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language coursesif any), and receive a grade within forty-eight (48) hours of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: (These courses require this form to be submitted and will be applicable towards column advancementreceiving the complaint.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-2018

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: •  Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. •  Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. •  Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). •  Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. •  Duplication of prior courses taken will not be accepted. •  Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: (These courses require this form to be submitted and will be applicable towards column advancement.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-20182018 DEFINITION OF TERMS APPENDIX G Page 1 of 3 ACCREDITED INSTITUTION An institution listed as accredited in an issue of the Accredited Institutions of Post-secondary Education.

Statement of Grievance. This statement shall ACTION REQUESTED: (Signature of Aggrieved) TYPE OR PRINT GRIEVANCE FORM B (To be a clearcompleted by principal or other appropriate administrator, concise statement within three (3) school days after submission of the formal grievance, .) DATE OF FORMAL GRIEVANCE PRESENTATION SCHOOL PRINCIPAL AGGRIEVED PERSON DECISION OF PRINCIPAL (Level 2 - Step One) DECISION OF PRINCIPAL (OR OTHER ADMINISTRATOR) AND REASONS THEREFOR: DATE OF DECISION (Signature of Principal or other Administrator) AGGRIEVED PERSON'S RESPONSE: (To be completed by aggrieved within three (3) school days of decision.) I accept the contract provisions allegedly violated, above decision of the circumstances involved, principal (or other administrator). I hereby appeal the above decision to the Superintendent of Schools. DATE OF RESPONSE (Signature of Aggrieved) TYPE OR PRINT GRIEVANCE FORM C (To be completed within (5) school days after the rendition of the decision rendered at by the informal conference, and the specific remedy sought. principal or other administrator.) DATE OF FORMAL GRIEVANCE PRESENTATION SCHOOL PRINCIPAL AGGRIEVED PERSONS REFERRAL TO SUPERINTENDENT (Use back if neededLevel 2 - Step 2) _ __ _ OPINION AND REASONS THEREFOR: (Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ MEA representative) OR Signature of Supervisor Date aggrieved employee if represented by self) DATE OF REFERRAL TYPE OR PRINT GRIEVANCE FORM D (To be completed by Superintendent of Signature LEVEL Schools within three (3) school days after hearing with aggrieved; hearing to be held within ten (10) school days after receipt of appeal.) DATE OF FORMAL AGGRIEVED GRIEVANCE PRESENTATION _ PERSONS DATE APPEAL RECEIVED BY SUPERINTENDENT DATE HEARING HELD BY SUPERINTENDENT DECISION BY SUPERINTENDENT (Level 2 - Step 2: ) DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ AND REASONS THEREFOR: DATE OF DECISION (Signature of Superintendent) AGGRIEVED PERSON'S RESPONSE: (To be completed within three (3) school days of decision.) I accept the above decision of the Superintendent or Designee Date of Signature LEVEL 3: DECISION Schools. DATE OF THE MEDIATOR _ __ _ I hereby appeal to the Board of Education for a review of this grievance. RESPONSE (Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ Aggrieved) TYPE OR PRINT GRIEVANCE FORM E (Level 2 - Step 3) AGGRIEVED DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - FORMAL GRIEVANCE PERSONS PRESENTATION_ REFERRAL TO BOARD (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must To be completed outside within three (3) school days after the rendition of the regular duty day calendar Superintendent's decision.) The attached grievance is hereby appealed to the Board of Education for a review and without the use hearing. DATE OF REFERRAL TO BOARD (Signature of District funds, MEA representative) OR Signature of aggrieved employee if represented by self) BOARD RESPONSE (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must To be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: Board of Education President within five (These courses require this form 5) school days after board hearing with aggrieved; board hearing to be submitted and will be applicable towards column advancementheld within ten (10) school days after receipt of appeal.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-2018DATE APPEAL RECEIVED DATE HEARING HELD BY BY BOARD OF EDUCATION BOARD OF EDUCATION DECISION OF BOARD OF EDUCATION AND REASONS THEREFOR: Signature of Board President DATE OF DECISION

Statement of Grievance. Date of Alleged Violation: Provisions alleged to have been violated: Event upon which grievance is based: Remedy sought: Signature of Grievant: Title: Department: Receipt Acknowledged by Union/Management Representative: Signature Title Date Grievance Form Page Two Disposition of Grievance: Deadline for appeal to next level is Receipt Acknowledged by Union/Management Representative: Signature Title Date APPENDIX H BARGAINING UNIT POSITIONS Each fiscal year, the Human Resources Department will supply the Union Leadership with a spreadsheet identifying the following categories: total number of positions by title; department/division; classification, seniority, and location. This statement shall spreadsheet will be used by the Union to ensure all positions are accounted for each fiscal year. Should there be a clear, concise statement of discrepancy from the grievanceprevious fiscal year accounting, the contract provisions allegedly violatedUnion will meet with Human Resources and Accounting & Budget Departments to determine reasons for the discrepancy. APPENDIX I SICK LEAVE CORRECTIVE ACTION PLAN FORM (INSERT EMPLOYEE NAME) - (INSERT DATE OF COUNSELING MTG) ATTENDANCE: (Ex: Excessive unscheduled absences, the circumstances involvedAbuse of sick leave pattern, the decision rendered at the informal conferenceNo Call/No Show, and the specific remedy soughtNon-FMLA LWOP) Even though you were previously (INSERT COACHED AND/OR FORMAL COUNSELED) on (INSERT DATE), your attendance remains unsatisfactory. (Use back if neededDELETE lE NO PREVIOUS COACHING, CORRECTIVE ACTION OR FORMAL PROGRESSIVE DISCIPLINE HAS OCCURRED) _ __ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered byINCIDENTS: (Accredited College or UniversityINSERT IN FORMATION) Reason for taking courseEXAMPLE: Effective 7/1/09During the past six months, you have taken the following unplanned absences: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District fundsDATES: November 6, (*Exceptions). • Courses must be graduate or upper division level2014: November 30, (except for courses required to clear a credential or second language courses)2014: December 4, and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/102014: (These courses require this form to be submitted and will be applicable towards column advancement.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT January 21, 2015-2018: February 7, 2015: February 9, 2015:

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature LEVEL 1: DECISION OF SUPERVISOR _ __ _ Signature of Supervisor Date of Signature LEVEL 2: DECISION OF SUPERINTENDENT OR DESIGNEE _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 3: DECISION OF THE MEDIATOR _ __ _ Signature of Superintendent or Designee Date of Signature LEVEL 4: ARBITRATION ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: APPENDIX F MURRIETA VALLEY UNIFIED SCHOOL DISTRICT CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: Effective 7/1/09: •  Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. •  Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. •  Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). •  Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. •  Duplication of prior courses taken will not be accepted. •  Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date *Course Exceptions for 2009/10: (These courses require this form to be submitted and will be applicable towards column advancement.) ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation APPENDIX G‌‌ G‌ MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2015-20182018 DEFINITION OF TERMS ACCREDITED INSTITUTION An institution listed as accredited in an issue of the Accredited Institutions of Post-secondary Education.