ࡱ> y{x @ APbjbjqq TX2*******$nnnnTZhb4444p[po9q9q9q9M9IY$[R?^Y]*Y**44?Zd!d!d! *4*4o9d!o9d!d!o5**64V n$5{7UZ0Z6^: ^(6N$r****^*6|0"d!9YYnZ! nPROCESSED TO:MSEA NUMBER (MSEA Use Only) FORMCHECKBOX  Step 1  FORMCHECKBOX  Step 2MICHIGAN STATE EMPLOYEES ASSOCIATIONEMPLOYEE GRIEVANCE FORMDEPARTMENT NUMBER (Department Use Only)  NAME (Print or Type)  FORMTEXT      EMPLOYEE I.D. NUMBER  FORMTEXT      CLASS/LEVEL  FORMTEXT      ADDRESS  FORMTEXT      CITY  FORMTEXT      STATE  FORMTEXT MIZIP CODE  FORMTEXT      HOME PHONE ( FORMTEXT      )  FORMTEXT      WORK PHONE ( FORMTEXT      )  FORMTEXT      DEPARTMENT/WORKSITE  FORMTEXT      SHIFT (Hours)  FORMTEXT      IMMEDIATE SUPERVISOR  FORMTEXT      SUPERVISOR WORK PHONE ( FORMTEXT      )  FORMTEXT      CONTRACT ARTICLE(S), CIVIL SERVICE AND/OR DEPARTMENTAL RULE(S) POLICIES/REGULATION(S) CITED  FORMTEXT      DATE OF EVENT/AWARENESS  FORMTEXT      EMPLOYEE S STATEMENT OF GRIEVANCE (Attach additional pages if needed; who, what, when, where, how, why, etc.), OR EMPLOYEE S STATEMENT OF APPEAL TO HIGHER STEP  FORMTEXT       A JUST AND FAIR SOLUTION TO MY GRIEVANCE  FORMTEXT       GRIEVANT S SIGNATURE  FORMTEXT       UNION REPRESENTATIVE S NAME  FORMTEXT      DATE GIVEN/MAILED  FORMTEXT        DATE RECEIVEDSTEP MANAGEMENT ANSWER MANAGERS SIGNATURE MANAGERS TITLE RETURNED TO GRIEVANT DATE RECEIVED ANSWER  FORMCHECKBOX  ACCEPTABLE  FORMCHECKBOX  REJECTEDREASON FOR REJECTION DMB-19 OSE March 2006 INSTRUCTIONS NOTE: Complete online and print form or print blank form and complete using a ball point pen. All grievances shall be presented promptly and no later than fifteen (15) week days from the date the grievant knew or could reasonably have known of the facts or the occurrence of the event giving rise to the alleged grievance. WHO DOES WHAT Employee Complete all items (except grievance numbers), on the top of the form, the Employees Statement of Grievance Section, and the Just and Fair Solution Section. Sign and date the form. Give the grievance to the Step 1 Employer Representative. NOTE: A Grievance involving demotion, suspension or discharge may be appealed directly to Step 2 by forwarding the grievance form to the designated Step 2 Employer Representative. Step 1 Employer Rep. Sign/date the grievance form to indicate receipt: Obtain department/agency grievance number and place on the form where indicated. Within five (5) week days from the date of receipt: Schedule and conduct Step 1 conference. Including the Employee(s), and/or designated MSEA Representative at the initiative of the Employer Representative or in response to a request by the Employee(s) or MSEA. Return a written decision on the original grievance form to the Employee(s) and the VXZvxz   : < κحΙح}sic[[MjhPRCJOJQJUhPROJQJ hCJhCJOJQJhCJOJQJh5CJOJQJ hCJhPR5CJOJQJ'jh|h|CJOJQJUhhPRCJOJQJ'jh|h|CJOJQJUhCJOJQJjhCJOJQJU hPRCJhPRCJOJQJhPRCJOJQJVX  l d35#d5|s3؎ $$Ifa$$ 8$Ifa$gdPR]kd$$IflF ,D      4 la $$Ifa$ $$Ifa$gdPRAP < l hG35#d#d#L $$Ifa$ $$Ifa$gd| $ 8$Ifa$]kdq$$IflF ,D      4 la  8 P x kp,d5GdGd d d $$Ifa$$a$]kd$$IflF ,D      4 la   & ( * 4 6 8 P R f h j t v z ¸¸t¸c¸!jhPRCJOJQJU!jkhPRCJOJQJU&jh|CJOJQJUmHnHu!jhPRCJOJQJUjhPRCJOJQJUhPRCJOJQJhPRCJOJQJ&jh|CJOJQJUmHnHujhPRCJOJQJU!jhPRCJOJQJU x z  $ L vdv5vGdvGdv`dv`5vgdvgd $$Ifa$kd$$IflFHf!,v 0    4 la      $ & : < > H J L N b d f h ¸wjY¸QEjhPROJQJUhPROJQJ!jhPRCJOJQJUh^hPRCJOJQJh|CJOJQJmHnHu'joh^h^CJOJQJUh^h^CJOJQJ!jh^h^CJOJQJUhPRCJOJQJhPRCJOJQJ&jh|CJOJQJUmHnHujhPRCJOJQJU!jhPRCJOJQJUL N d " J r lcdccdccdcdcgdcgd $$Ifa$kd[$$Ifl\Hf!%,8>04 la h | ~     " J L ` b d ݲݲ|k|!jhPRCJOJQJUjhPRCJOJQJUj{hPROJQJUjhPROJQJUhPRCJOJQJhPRCJOJQJjhPROJQJU"jh|OJQJUmHnHujhPROJQJUjhPROJQJUhPROJQJ#d n p r   4 6 8 : N P R \ ^ b d x z | DFZʹʨԠsdsjw hPROJQJU"jh|OJQJUmHnHuj hPROJQJUjhPROJQJUhPROJQJ!j hPRCJOJQJU!jg hPRCJOJQJUhPRCJOJQJhPRCJOJQJjhPRCJOJQJU&jh|CJOJQJUmHnHu' 6 lwc dc dc dc  $$Ifa$kd $$Ifl\H%,Z Z V>04 la Dlw d d d d $$Ifa$lkd $$Ifl0f!,!v 04 laZ\^hj *,DF$&bdx±–§…§t!jhPRCJOJQJU!jhPRCJOJQJU!j hPRCJOJQJUhPRCJOJQJ!j hPRCJOJQJUhPRCJOJQJ&jh|CJOJQJUmHnHujhPRCJOJQJU!j hPRCJOJQJU(.02468:<>@BDȔp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,d $$Ifa$lkdk $$Ifl0f!,!v 04 laDFxp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,dp,d $$Ifa$Ykds$$Ifl,H-04 la (*b|@d@d@d@d@d@d@d@d $$Ifa$Ykde$$Ifl,H-04 la xz|23\]klst±Ÿ’}›se[hCJOJQJjhCJOJQJUhCJOJQJhCCJOJQJhPR5>*OJQJhPR5OJQJhPRhPRCJOJQJhPROJQJ!jhPRCJOJQJUhPRCJOJQJ&jh|CJOJQJUmHnHujhPRCJOJQJU!jWhPRCJOJQJU,_zp,xql dq,"d $$Ifa$$a$kdC$$IflF,0    4 ladl d,"x]xp,dp,dp,dp,dp,dp,dEkd<$$Ifl0 ,D #4 la $ 4$Ifa$ $$Ifa$Ekd$$Ifl0 ,D #4 la 345EF[\]kp,d @d@d@d@d@d@dj,_ep,xl d$a$Xkd$$IflF,    4 la2kd$$Ifl,H-4 la $$Ifa$ klsl d,"d,"5|p,dp,dp,dp,dp,dp,dp,dp,dlkd]$$Ifl0 ,D #04 la $ $Ifa$ $$Ifa$ M5CD}(@DɵӫwhYhJhYhYhhzhPRCJOJQJ^Jhzh(CJOJQJ^JhzhPRCJOJQJ^JhzhPROJQJ^JhzhPR5OJQJ^Jh%p5OJQJh(OJQJhPROJQJhPRCJOJQJ'jh|h|CJOJQJUhCJOJQJhPRCJOJQJjhCJOJQJU'juh|h|CJOJQJUNO45DE Sp,p,xp,p,wp,w{p,wp,wqp,xqp,w $ a$ $]a$gd%p$a$ $@]@a$gd%p$a$gd'$a$Ykd$$Ifl,H-04 la EABLLLp,wp,wp,|p,wp,wp,wp,wp,wp,wp,wp,wsp,wsp,w$ @  (]^ `(a$gde]$  @ @ ]^@ `a$gde]$ & F  ]a$gde]$  @ ]a$gde]$  (^ `(a$$  (]^ `(a$gde] DIKM?@ALL LHLLLLLLLLLLUMVMeMjMwMzMMMMMN NNNNNNNNNNNOѶඓhzh}CJOJQJ^J"hzhPR56CJOJQJ^JUhzh39CJOJQJ^Jh~CJOJQJ^Jhzh(CJOJQJ^JhzhPRCJOJQJ^JhzhPR5CJOJQJ^J:MSEA Representative. Employee If not satisfied with the Step 1 answer, with ten (10 week days from the date of receipt of the decision from the Step 1 Employer Representative): Check Rejected, complete the Reason for Rejection section and forward the grievance and Step 1 answer to the designated Step 2 Employer Representative. Step 2 Employer Rep. NOTE: The parties may meet to discuss the grievance at Step 2, but are required to meet and discuss disciplinary grievances involving a written reprimand, suspension, discharge, demotion, or less than satisfactory service rating. Within fifteen (15) week days of date of receipt*: Schedule and conduct a Step 2 conference with the Employee(s) and MSEA Representative(s). Return a written decision and the original grievance form to the Employee(s) and the MSEA Representative(s). Employee Within ten (10) week days from date of receipt*, if not satisfied with Step 2 answer, contact your local steward or MSEA Central Office for further information. * ALWAYS MAKE A NOTE OF THE DATE RECEIVED ON THE FORM. 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