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CCE Grievance Form
As a classified employee you have rights. If you have a question or concern regarding our contract, complete the form to contact your grievance officer.
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* Indicates required question
Name
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Your answer
Date
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MM
/
DD
/
YYYY
Non-Palomar email
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Your answer
Phone
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Your answer
What Happened? (What did management representative do or fail to do that gives rise to the complaint?)
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Your answer
Who is involved? (Grievant (employees), Responsible Management person, any witnesses.)
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Your answer
When/Where did it happen? (Time, date and place of the event)
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Your answer
Why is it grievable? (On what grounds are you grieving? What is specifically wrong with "what happened"? Specific language or policy violated)
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Specific Contract Language
Board Policy Violation
Not sure, I need help
Other:
What must be done to make the grievance WHOLE? (Explain corrective action requested, what would be acceptable to the grievant as well as the union while preserving the integrity of the contract)
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Your answer
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This form was created inside of Palomar College CCE/AFT Local 4522.
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