INSTRUCTIONS FOR FILLING OUT GRIEVANCE FORM,

APPEAL OF REPRIMAND

Step 1 –          Discuss situation and concerns with Supervisor

If outcome is not satisfactory, proceed to Step 2

Step 2 –          Deliver completed grievance form to Supervisor within 7 days of discussion.

If outcome is not satisfactory, proceed to Step 3

Step 3 –           Deliver grievance to Lieutenant within 7 days of receipt from Supervisor.

If outcome is not satisfactory, proceed to Step 4

Step 4 –           Deliver to Bobbitt & Pinckard on the date grievance is received from Lieutenant.                             

	(See “About Us” tab on website for contact information)

Step 5 –            Bobbitt & Pinckard will file grievance with the Sheriff.

If outcome is not satisfactory, 

Bobbitt & Pinckard will proceed to Step 6 on your behalf.

Step 6 –          Bobbitt & Pinckard will file request for arbitration.

  County of San Diego

GRIEVANCE FORM

The purpose of the grievance procedure is to provide a just and equitable method for the resolution of grievances as quickly as possible without discrimination, coercion, restraint, or reprisal against any employee or management representative who may be involved in a grievance procedure or its resolution.  Before filling out this form, consult the grievance procedure provisions applicable to your bargaining unit regarding time limits and other requirements.

I verbally notified my supervisor of my complaint and the remedy sought on _______________________(date).

_________________________________                  ______________________________

Employee’s Name (print)                                              Employee’s Signature

Work Phone: _______________________                 Department: ___________________

Division: __________________________                  Classification: ____________{_}______

Date Delivered to Supervisor: _____________________________

Representative (if any): Bobbitt & Pinckard, APC

Bargaining Unit:  Deputy Sheriffs’ Association

DESCRIPTION OF GRIEVANCE

1. What happened?

I received a punitive action in the form of a reprimand as defined by     Government  Code § 3303.  The punitive action is unsupported by         substantial evidence.

2. When did it occur, or when did you find out?

Date:

3. Was a specific section of the Memorandum of Agreement violated; if so, what section? 

Employee has the right to appeal reprimands in accordance with Article 11(H) of the Memorandum of Agreement.

4. Remedy sought:

    Removal of reprimand.

Date received by Supervisor:                                            

Supervisor’s written response:

Supervisor’s signature: _______________________________________

Date delivered to employee:                                           

Date received by employee: ____________________________________

I am forwarding this grievance to the next step:  _________________________________

                                                                                    Employee’s Signature

Date delivered to Middle Management: _________________________________

Representative’s signature (if any):  _____________________________________

Date delivered to Middle Management: __________________________________

Grievance delivered to: ___________________________________

Signature:  _____________________________________________

Date received by Middle Management:  _______________________________________

Middle Manager’s written response:

Middle Manager’s signature:  _______________________________________

Date delivered to Employee:  ________________________________________

Date received by Employee: ____________________________________

I am forwarding this grievance to the next step:  _________________________________

                                                                                    Employee’s Signature

  Date delivered to Department Head: ____________________________________

Representative’s signature (if any):  _____________________________________

Grievance delivered to: ___________________________________

Signature:  _____________________________________________

Date received by Department Head:                                                     

Department Head’s written response:

Department Head’s Signature:  _______________________________________

Date delivered to Employee:  ________________________________________

Date received by employee: ________________________________________

NOTE TO EMPLOYEE:         If you wish to pursue the grievance further, please consult the grievance procedure provisions applicable to your bargaining unit.

I wish to pursue this grievance further using the procedure for my bargaining unit.

____________________________________                        ________________________

Employee’s Signature                                                               Date