The College encourages the resolution of issues on an informal basis whenever possible. A grievance is defined as, and limited to, allegations that a specific personnel policy statement provision, a standard practice guide (SPG), and/or regulation has been or is being misapplied, misinterpreted, or not applied in such a way that the grievant or his/her working conditions have been affected. Please see Pima Community College Personnel Policy Statement for College Employees, Section VI for additional information and definitions.

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Contact Information

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Contact Information	Prefix (Select One) ♦ First Name M.I. ♦ Last Name ♦ Phone Number (Preferred) Include the area code, extension, and/or dialing codes if applicable. ♦ Email (Format: username@domain.com)

Location	♦ Does this pertain to an on-campus or off-campus location? On-campus Off-campus (Select One)

Participants (Including but not limited to “Members of Grievant Group” and/or “Witnesses”)

Participants	♦ Are there any other participants involved in this grievance? (including but not limited to those part of a Grievant Group, Witnesses, etc.). Yes No (Select One)

Grievance Details

Informal Resolution	♦ Have you attempted to resolve this issue informally (i.e., discussed with your first level supervisor?) Yes No (Select One) ♦ If yes, what actions did you take and what was the outcome?

Details	♦ What is the policy statement provision, SPG, or regulation that is alleged to have been violated? ♦ Provide the facts surrounding the grievance. ♦ Describe the remedy or specific action you are requesting.

Appeals

Appeals	If the grievant, grievant group or respondent (the appellant) is not satisfied with the decision the appellant may appeal the decision. Please see the Personnel Policy Statement for College Employees, Section VI.F.3-5 for information regarding the steps to file an appeal.

If the grievant, grievant group or respondent (the appellant) is not satisfied with the decision the appellant may appeal the decision.

Please see the Personnel Policy Statement for College Employees, Section VI.F.3-5 for information regarding the steps to file an appeal.

Employee Grievance Form

Contact Information

Participants (Including but not limited to “Members of Grievant Group” and/or “Witnesses”)

Grievance Details

Appeals