Attachment 1 "Step 1 Career Service Grievance Form" - Florida

The Florida Department of Juvenile Justice has released this version of the "Attachment 1 - Step 1 Career Service Grievance Form" on April 1, 2018.

This form may be used by all Florida residents: download the printable PDF by clicking the link below and use it according to the applicable legal guidelines.

ADVERTISEMENT

Download Attachment 1 "Step 1 Career Service Grievance Form" - Florida

300 times
Rate
4.4(4.4 / 5) 21 votes
Attachment 1
STEP 1
CAREER SERVICE GRIEVANCE FORM
To be completed by the grievant (employee)
Name:
Position Title:
Region/Circuit:
Work Hours:
Work Address:
Work Phone Number:
Date of occurrence of the event giving rise to this grievance:
Grievance described in detail, including:
1. A statement of the grievance and the facts upon which it is based:
2. Allegation of the specific wrongful act and harm done:
3. A statement of the remedy or adjustment sought:
(The aggrieved employee shall attach any pertinent information to this grievance form for
consideration.)
Note: Grievances may be filed by career service employees who have completed the required
probationary period in their current position. Claims of discrimination and sexual harassment
FDJJ – 1003.22, Sexual Harassment and Discrimination
(Please reference
Procedures) are
excluded from the career service grievance procedure. Claims related to suspensions,
reductions in pay, demotions, and dismissal may be appealed through the Public Employee
Relations Commission (PERC), or if applicable, through the Collective Bargaining process.
_______________
_____________________________
Date
Signature of Grievant
Original:
Step 1 (Immediate Supervisor or Designee)
Copy:
HQ-Human Resources Grievance Coordinator
Revised: 4/2018
Reset/Clear Form
Print Form
Save As
Attachment 1
STEP 1
CAREER SERVICE GRIEVANCE FORM
To be completed by the grievant (employee)
Name:
Position Title:
Region/Circuit:
Work Hours:
Work Address:
Work Phone Number:
Date of occurrence of the event giving rise to this grievance:
Grievance described in detail, including:
1. A statement of the grievance and the facts upon which it is based:
2. Allegation of the specific wrongful act and harm done:
3. A statement of the remedy or adjustment sought:
(The aggrieved employee shall attach any pertinent information to this grievance form for
consideration.)
Note: Grievances may be filed by career service employees who have completed the required
probationary period in their current position. Claims of discrimination and sexual harassment
FDJJ – 1003.22, Sexual Harassment and Discrimination
(Please reference
Procedures) are
excluded from the career service grievance procedure. Claims related to suspensions,
reductions in pay, demotions, and dismissal may be appealed through the Public Employee
Relations Commission (PERC), or if applicable, through the Collective Bargaining process.
_______________
_____________________________
Date
Signature of Grievant
Original:
Step 1 (Immediate Supervisor or Designee)
Copy:
HQ-Human Resources Grievance Coordinator
Revised: 4/2018
Reset/Clear Form
Print Form
Save As
ADVERTISEMENT
Fill PDF online