Employee Grievance Form

The Employee Grievance Procedure Form is used to file a grievance not addressed through other procedures

Publication Date: 03/22/2011
Document Type: Printed Forms and Templates
Sponsor: Department of Personnel

Employees must complete an Employee Grievance Procedure Form to grieve problems not addressed through other procedures.

Attach additional sheets when necessary. DO NOT submit this form to address service ratings; examinations; benefits established by ordinance; classification of positions; equal employment opportunity complaints; or employment status including dismissals, demotions, layoffs, suspensions, reductions in pay, docks and denial of leave.

An employee should first discuss the problem with his/her immediate supervisor.

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