HomeMy WebLinkAbout106.012 - FC-03, Grievance Form
ADMINISTRATIVE MANUAL
FORMS
106.012 GRIEVANCE FORM (FC-03)
EFFECTIVE: SEPTEMBER 2008
Current Revision Date: 02/13/19 Next Revision Date: 02/13/22
Author’s Name/Rank:
Timothy J. Fulmer,
Administrative Battalion Chief Review Level: 1
Administrative Support:
Christina L. Johnson,
Senior Administrative Clerk
Section 106.012
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PURPOSE
The purpose of this policy is to develop a uniformed format to be followed by the
member of the Fresno Fire Department (Department or FFD) when submitting a
grievance. This is a citywide form.
APPLICATION
Individual members are to fill this form out as required when filing a grievance.
OPERATIONAL POLICY
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OPERATIONAL GUIDELINE
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PROCESS
Applicable timelines regarding grievance procedures are contained in the
appropriate policy in the Administrative Manual, Section 107, Grievance Procedures.
INFORMATION
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Section 106.012
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DEFINITIONS
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CROSS-REFERENCES
Current MOU between the City of Fresno and the appropriate association or
bargaining group
Administrative Manual
Section 107.001, Grievance Procedures-International Association of
Firefighters, Local No. 753
Section 107.002, Grievance Procedures-Fresno City Employees Association,
Inc. (FCEA)
Section 107.003, Grievance Procedures-International Union of Operating
engineers, Stationary Engineers, Local No. 39 (Blue Collar Unit)
Section 106.012
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FC-03
CITY OF FRESNO
EMPLOYEE GRIEVANCE FORM
STEP 1. (Formal presentation of grievance)
Employees may be entitled to representation under the grievance procedure.
NAME OF GRIEVANT
DATE FILED WITH SUPERVISOR
DEPARTMENT DIVISION
JOB TITLE SUPERVISOR
WHAT OCCURRED (Please describe the incident, be specific)
DATE INCIDENT OCCURRED
WHAT RULE OR REGULATION WAS VIOLATED
SPECIFIC REMEDY REQUESTED
I DISCUSSED THIS INFORMALLY WITH MY SUPERVISOR ON
GRIEVANT’S SIGNATURE
COPY OF GRIEVANCE SENT TO LABOR RELATIONS YES NO
Section 106.012
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FC-03
STEP 2
FORMAL REVIEW BY SUPERVISOR DATE RECEIVED
TIMELINES EXTENDED BY MUTUAL AGREEMENT (Yes) (No)
Date
DECISION
SUPERVISOR’S SIGNATURE
DATES DELIVERED TO GRIEVANT
THE ABOVE DECISION IS ACCEPTABLE
I REQUEST FURTHER REVIEW BY MY DEPARTMENT HEAD
GRIEVANT’S SIGNATURE DATE
STEP 3
REVIEW BY DEPARTMENT HEAD DATE RECEIVED
TIMELINES EXTENDED BY MUTUAL AGREEMENT (Yes) (No)
Date
DECISION
DEPARTMENT HEAD’S SIGNATURE
DATES DELIVERED TO GRIEVANT
THE ABOVE DECISION IS ACCEPTABLE
I REQUEST FURTHER REVIEW BY THE GRIEVANCE ADVISORY COMMITTEE
GRIEVANT’S SIGNATURE
EMPLOYEE ORGANIZATION/REVIEW COMMITTEE APPROVAL (If required) Yes No
DATE
Section 106.012
Page 5 of 5
DATE DELIVERED TO LABOR RELATIONS
FC-03
STEP 4
REVIEW BY GRIEVANCE ADVISORY COMMITTEE
GRIEVANCE HEARING DATE
RECOMMENDATION
COMMITTEE CHAIRPERSON’S SIGNATURE
DATE DELIVERED TO CITY MANAGER
STEP 5
DECISION BY CITY MANAGER DATE RECEIVED
DECISION
CITY MANAGER’S SIGNATURE
DATE DELIVERED TO EMPLOYEE