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GRIEVANCE FORM For use by AFSCMErepresented employees. Cannot be used for matters governed by the Maryland Police Accountability Act. THIS FORM MUST BE COMPLETELY FILLED OUT Name: ___Department: ___Job
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How to fill out revised 104 grievance form

01
Obtain the revised 104 grievance form from the appropriate agency or department.
02
Read the instructions carefully before filling out the form.
03
Enter your personal information, including your name, address, and contact details.
04
Clearly state the nature of your grievance in the designated section.
05
Provide any supporting documentation or evidence relevant to your grievance.
06
Ensure all parts of the form are completed, including dates and signatures where required.
07
Review the form for accuracy and completeness before submission.
08
Submit the form to the appropriate office by the specified deadline, either in person or via mail.

Who needs revised 104 grievance form?

01
Individuals who have a formal grievance with an agency or organization.
02
Employees seeking redress for workplace-related issues.
03
Clients or customers dissatisfied with services provided.
04
Anyone required to file a complaint or grievance under specific regulations.
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The revised 104 grievance form is a specific document used to formally challenge or dispute decisions made by a governing body or organization regarding grievances.
Individuals who are dissatisfied with a decision related to their grievance, typically employees or members of an organization, are required to file the revised 104 grievance form.
To fill out the revised 104 grievance form, individuals should provide personal details, describe the grievance, provide any supporting evidence, and sign the form where indicated.
The purpose of the revised 104 grievance form is to offer individuals a structured way to present their grievances formally and to ensure they are reviewed and addressed appropriately.
The form typically requires personal identification details, a clear description of the grievance, any relevant dates, supporting evidence, and the signature of the person filing the grievance.
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