Response Pay Form

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Response Pay Form

If your job duties required you to serve the public during the elevated level 2 and level 3 operations, and you are NOT one of the classifications already named in the grievance, please complete this Response Pay form if you believe DBM should have included your classification.

Email *

First Name *

Last Name *

Agency *

Department/ Unit/ Division *

Job Title *

Were you an essential employee during level 2 or 3 operations? *

Yes

Maybe

Did your job duties require public interaction? *

Yes

Maybe

Describe the job duties requiring public interaction *

How often did you perform the above duties? *

Did you inquire about the COVID Response with your HR department? *

Yes

Do your colleagues feel the same as you do about this issue? *

Yes

Maybe

Send me a copy of my responses.

Submit

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