WAGES, HOURS, OR WORKING CONDITIONS GRIEVANCE PROCESSING FORM El Paso Community College. Name: Title: Department: Location: Telephone:

Transcription

1 Grievance No. Received: WAGES, HOURS, OR WORKING CONDITIONS GRIEVANCE PROCESSING FORM El Paso Community College LEVEL ONE Grievant Information: Name: Title: Department: Location: Telephone: Immediate Supervisor (or supervisor who should address the grievance): Describe the grievance in detail, including a description of the issues, the circumstances upon which the grievance is based, and the College Policy or procedure allegedly violated. (Use additional sheets, if necessary.) Please describe optional actions or remedies to resolve this grievance: Note: Reference College Procedure # (Rev. 2/2006)

2 TO IMMEDIATE SUPERVISOR:_ received by Immediate Supervisor: NOTE: Your response must be received by the Employee Relations Department within 10 working days of your receipt Immediate Supervisor s response: Signature of Immediate Supervisor Received by Employee Relations from Immediate Supervisor: Copy to Second/Next-Line Supervisor Wages, Hours, Or Working Conditions Grievance Processing Form Page 2

3 TO EMPLOYEE: If you do not agree with your supervisor s response to your grievance, you may submit a written request for review (Level Two). LEVEL TWO: Second/Next-Line Supervisor s Review NOTE: Repeat as necessary to continue through all supervisory levels, if necessary, except for the Senior Administrative official. Your request for review must be received by the Employee Relations Department within 5 working days of your receipt I do not agree with my Supervisor for the following reason(s): Received by Employee Relations: Wages, Hours, Or Working Conditions Grievance Processing Form Page 3

4 TO SECOND/NEXT-LINE SUPERVISOR: received by Second/Next-Line Supervisor: NOTE: Your response must be received by the Employee Relations Department within 10 working days of your receipt Second/Next-Line Supervisor s Response: Signature of Second/Next-Line Supervisor Received by Employee Relations from Next-Line Supervisor: Copy to Immediate Supervisor Copy to Second/Next-Line Supervisor TO EMPLOYEE: If you do not agree with your supervisor s response to your grievance, you may submit a written request for review (Level Three). Wages, Hours, Or Working Conditions Grievance Processing Form Page 4

5 LEVEL THREE: Senior Administrative Supervisory Official s Review (Appropriate Vice President) Your request for review must be received by the Employee Relations Department within 5 working days of your receipt I do not agree with my Second/Next-Line Supervisor for the following reason(s): Received by Employee Relations: Wages, Hours, Or Working Conditions Grievance Processing Form Page 5

6 TO SENIOR ADMINISTRATIVE SUPERVISOR: received by Senior Administrative Supervisor: NOTE: Your response must be received by the Employee Relations Department within 10 working days of your receipt Senior Administrative Supervisor s Response: Signature of Senior Administrative Supervisor Received by Employee Relations from Senior Administrative Supervisor: Copy to Immediate Supervisor Copy to Second/Next-Line Supervisor(s) Wages, Hours, Or Working Conditions Grievance Processing Form Page 6

7 LEVEL FOUR REQUEST FOR APPEAL TO THE GRIEVANCE APPEAL COMMITTEE TO EMPLOYEE RELATIONS: I wish to appeal to the Staff Faculty Grievance Appeal Committee (Level Four). NOTE: Your response must be received by the Employee Relations Department within 5 working days of your receipt of this Grievance Appeal Processing Form. I do not agree with my Senior Administrative Supervisor s decision for the following reason(s): Received by Employee Relations Copy to Immediate Supervisor Copy to Second/Next-Line Supervisor(s) Copy to Senior Administrative Supervisor Wages, Hours, Or Working Conditions Grievance Processing Form Page 7