Employee Complaint Form - Level One (Page 3 of 7) in pdf

Employee Complaint Form - Level One Page 3

RESPONSE TO LEVEL ONE COMPLAINT

(date)

(name of complainant)

(address of complainant)

Dear

Having considered the complaint we discussed in our Level One conference on

__________________ (date), I have decided on the following response:

[Note: When preparing the letter, include only one of the following sentences.]

For the following reasons, I am unable to provide the remedy you seek:

I will take the following actions to grant the remedy you seek for your complaint:

Although I am unable to provide the full remedy you seek for your complaint, I will take the

following actions to provide a partial remedy:

(signature of supervisor, principal, or other appropriate administrator)

(date)

Complainant, please note:

To appeal this response, you must file a written notice of appeal with the appropriate administrator

within the time limits set in board policy. The necessary forms are available from the Human Resources

office during regular business hours.

Legal Policy 600.200; Board Policy 600.200; Legal Policy 300.120; Board Policy 300.120

Employee Complaint Form - Level One Page 3