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Procedure 1.65(b) Monroe County Community College GRIEVANCE FORM FOR COMPLAINTS OF ILLEGAL DISCRIMINATION OR SEXUAL HARASSMENT Before completing this form, you should read the College s procedures
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How to fill out 165b grievance form for:

01
Start by reading the instructions: Take the time to carefully review the instructions provided with the 165b grievance form. This will ensure that you understand the purpose of the form and how to complete it accurately.
02
Provide personal details: Begin filling out the form by providing your personal information, such as your name, contact information, and any identification numbers or case numbers related to the grievance.
03
State the nature of the grievance: Clearly explain the reason for your grievance in a concise and specific manner. Include any relevant details, dates, or incidents that support your claim. Use clear and objective language to describe the issue.
04
Include supporting evidence: If possible, provide any supporting evidence or documentation that strengthens your grievance. This may include photographs, emails, letters, or any other relevant materials that validate your claim.
05
Describe prior actions or attempts: If you have taken any previous actions or made any attempts to address the grievance before filing the form, include a brief description of these efforts. This shows that you have taken the appropriate steps to resolve the issue.
06
State desired outcome: Clearly state what you hope to achieve as a resolution to your grievance. This could be requesting a specific action, compensation, or any other reasonable request related to the issue at hand.

Who needs 165b grievance form for:

01
Employees: If you are an employee who wishes to file a formal grievance against your employer or workplace, you may need to fill out the 165b grievance form. This form allows you to document the details of your complaint and begin the process of seeking resolution.
02
Union members: Union members who have a grievance against their union, such as disagreements with representation, union activities, or contractual violations, may need to complete the 165b grievance form. This form serves as a formal avenue to raise concerns and seek resolution within the union structure.
03
Individuals with legal disputes: If you have a legal dispute or complaint that falls within the jurisdiction of the organization or institution that requires the 165b grievance form, you may need to utilize this form to initiate the formal grievance process.
Please note that the specific circumstances or organizations requiring the 165b grievance form may vary. It is essential to consult the guidelines or instructions provided by the relevant organization to determine if this form is necessary for your particular situation.
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