The grievance form below shall be the official grievance form to be utilized in the case of all handicapped nondiscrimination grievances.
Grievance Form Name Job Title ___________________ Department Supervisor _________________ Instructions: Part I and II are to be completed by the employee I. Grievance Statement (attach additional information or comments if necessary) Date/Time of Occurrence Location Who was involved What occurred II. Relief/Remedy Sought (attach additional information or comments if necessary) Signature Date |
(Res. 1984-006, passed 9-5-1984)