GRIEVANCE 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 a grievance to the Civil Service Commission in accordance with Rule 4. Rule 4.05 GRIEVANCES states:

"The procedure established herein is limited to application to complaints of unfair or improper treatment in County employment and to matters specifically involving the interpretation or application of ordinances, rules, policies and agreement."

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. 
 

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