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Attachment A OP110205 Page 1 of 2OKLAHOMA DEPARTMENT OF CORRECTIONS GRIEVANCE RESOLUTION FORM INSTRUCTIONS FOR COMPLETION You must complete this form and file it with your agency grievance manager.
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01
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1. Start by writing the name of the person filling out the form at the top.
02
Provide the date and time that the form is being filled out.
03
Fill in the section that asks for the details of the person the form is about, such as their name, address, and contact information.
04
In the next section, provide a summary of the incident or issue that the form is addressing.
05
Provide any additional information that is relevant to the incident or issue.
06
Fill out the section that asks for any witnesses who have knowledge of the incident.
07
Sign and date the form at the bottom to certify that the information provided is true and accurate.
08
Make a copy of the completed form for your records before submitting it to the appropriate authority.
Who needs op-110205?
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op-110205 is needed by individuals who need to report an incident or issue to the appropriate authority.
02
This form is commonly used in legal and administrative settings to document important information and provide a formal account of an incident.
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Anyone who has relevant information about an incident can use op-110205 to report their findings and contribute to the resolution of the matter.
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