Appeal Report Form

If the grievant disagrees with the decision, an appeal can be filed. The Chief Executive Officer will investigate the appeal and may seek consult from an outside, neutral party. Identifiable information will be redacted. A decision will be rendered within 30 business days.

Please fill out the Appeal Report Form below. Be sure to hit the "Submit" button. You will receive a confirmation email shortly after submission.

Name *

First

Last

Date of Incident: *

Individuals Involved in the Incident: *

Date of Step 1 Meeting (required): *

Describe how you believe you were treated unfairly or unjustly. Please provide specific names, dates, and titles of documents being referenced. *

Detail who you met with during the Step 1 Meeting, what was discussed/reviewed, what were possible resolutions, and why you rejected these resolutions. Please attach any supporting documentation. *

Attach supporting documents here.

Click or drag files to this area to upload. You can upload up to 5 files.

Detail the reason(s) you reject the Step 2 decision rendered by the Chief Operating Officer. Please attach any supporting documentation. *

Attach supporting documents here.

Click or drag files to this area to upload. You can upload up to 5 files.

Identify your preferred resolution. *