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248. ATTACHMENT GRIEVANCE FORM Complainant Please return to Building Principal or : Kimberly A, McDermott/Compliance Officer 204 Schoolhouse Road Ellensburg, PA 15931 Complainant Name(s): Date: Building:
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How to fill out a grievance form - complainant:

01
Begin by carefully reading the instructions provided on the grievance form. These instructions will outline the necessary steps and information required to complete the form correctly.
02
Identify yourself as the complainant by providing your name, contact information, and any relevant identification details such as employee or student ID numbers.
03
Clearly state the nature of your grievance in a concise and specific manner. Include details such as the incident date, location, and individuals involved if applicable.
04
Provide a detailed account of the events leading up to the grievance, including any relevant conversations, emails, or documents involved. Be objective in your description and avoid using emotional language.
05
Clearly state the desired outcome or resolution you are seeking through the grievance process. This can include actions you believe should be taken or changes you would like to see implemented.
06
If the grievance involves any supporting documents or evidence, make sure to attach copies to the form. This can include emails, photographs, witness statements, or any other relevant materials.
07
Review the completed form to ensure all sections are filled out accurately and legibly. Double-check for any spelling errors or missing information.
08
Submit the completed form through the designated grievance process, following any additional instructions provided. Keep a copy of the form for your records.

Who needs a grievance form - complainant?

01
Employees who have a workplace issue or dispute that they believe needs to be addressed formally may need to fill out a grievance form.
02
Students who face discrimination, harassment, or unfair treatment within an educational institution may also need to submit a grievance form as a complainant.
03
Individuals who have experienced any form of mistreatment, violation of rights, or misconduct and seek its resolution can utilize a grievance form to present their complaint.
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The grievance form is a document that allows a complainant to formally address a concern or issue.
The complainant, or the individual who has a grievance or complaint, is required to file the grievance form.
The complainant can fill out the grievance form by providing detailed information about the issue or concern, as well as any supporting documentation.
The purpose of the grievance form is to formally document and address the concerns or issues raised by the complainant.
The grievance form must include information such as the nature of the grievance, relevant dates, names of involved parties, and any supporting evidence.
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