FILE: GAEA-E3
GRIEVANCE DISPOSITION
INSTRUCTIONS: Complete four copies of this form. Send the original to the next highest authority to hear the grievance. Send one copy to the Superintendent, one copy to the Personnel Office and retain one copy for your supervisor's records. Answer grievance within the specified time limits.
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Employee's Name Title Date of Grievance
Initiation
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Department (School) Division Location
1. What are the issues involved in this grievance?
2. What is your decision?
3. What is the basis for your decision?
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Signature Title Date
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Department or Bureau Division
_________
Form #
Distribution:
Original - Employee
1 Copy - Employee's Supervisor
Washington Parish School Board