• Section 7.17.F.2 - Staff Complaints and Grievances

    Level I - Grievance Form B - Decision of Immediate Supervisor


    To be completed by immediate supervisor within five (5) days after formal filing.

Grievant Information:

Grievance Information:

  • Decision of immediate supervisor and reason therefor:

Supervisor Signature and Date:

Grievant's Response:

  • Grievant's response [to be completed by grievant within five (5) days after the decision]:

     __   I accept the above decision of the immediate supervisor.

     __   I hereby refer the above decision to the Superintendent, with reasons  detailing nonacceptance at Level I any relief sought (Level II).


    Date of response __________    Signature of Grievant ___________________________

  • Reference: Section 7.17, Form 7.17.F.2