APPEAL FORM AND ATTACHMENT
Download Both Documents and Fill Out

In addition to the following forms please refer to the Civil Service Rules, Ordinances and Procedural Guidelines for further information. Click here for the Rules, Ordinances and Procedural Guidelines or a hard copy is available at the Human Resources Department.

This form
is required to be completed to state an appeal to the Civil Service Commission in accordance with Rule 4. Rule 4.06 (a) indicates Appealable matters to be as such:

(1) A classification action made by the Personnel Director, referred to in Rule 5.06;
(2) A ruling by the Personnel Director, referred to in Rule 6.05;
(3) A decision by the Personnel Director, made pursuant to Rule 8.05; and
(4) A final written order made by an appointing authority pursuant to Rule 14.03(b).
(5) A decision of the Personnel Director pursuant to Rule 4.05(b) Step 3(e) routing decisions.
(6) A decision of the Personnel Director pursuant to a below satisfactory evaluation appeal under Rule 13.06.
(7) A decision of the Personnel Director made pursuant to Rule 10.09 denying a rejected employee’s name to the eligible list.

Review Civil Service Rule 4 in its entirety to ensure this form is filed within the time limits set forth in the Rules. If you have questions about the procedure, contact the Personnel Office for information. DO NOT contact members of the Civil Service Commission or Board of Supervisors prior to the date that your matter is scheduled for hearing.

NOTE: You will need Adobe Acrobat Reader to open and view and/or Microsoft Word to open and view the documents below. 
 

Appeal Form (fillable fields in Word format) ms_word_icon
Appeal Form (pdf format) pdf tag
Appeal Attachment pdf tag