ࡱ> qsp#` XAbjbj .`E#8888888L###8,$<h$L1PX%'''''Rp(<)h0000000$2hI5z0Q8)''))088''K1P-P-P-)X8'8'0P-)0P-P-88P-'L% 轼#)P-h-la101P-5*h5P-58h-))P-)))))00,X)))1))))LLL0LLL0LLL888888K1  Iowa Department of Administrative Services  Human Resources Enterprise (DAS-HRE)For DAS-HRE Use NONCONTRACT GRIEVANCE FORM Name of Employee (Grievant)Social Security NumberDepartment FORMTEXT       FORMTEXT       FORMTEXT      ClassificationWork UnitImmediate Supervisor FORMTEXT       FORMTEXT       FORMTEXT      Work AddressCity, State & Zip CodeWork Phone Number FORMTEXT       FORMTEXT       FORMTEXT      Home Address *City, State & Zip Code *Home Phone Number * FORMTEXT       FORMTEXT       FORMTEXT      Employee s Signature *Date *8A Subchapter IV/70A Code Section or DAS-HRE Rule 11 IAC Violated **  FORMTEXT       FORMTEXT      * Required Information ** Must be completed if other than an 11 IAC 61.2(6) Appeal State the issue involved and the date the incident took place: FORMTEXT       Remedy Requested: FORMTEXT       IF THE ISSUE INVOLVES SUSPENSION, DEMOTION, DISCHARGE, OR REDUCTION OF PAY WITHIN GRADE OF A MERIT SYSTEM COVERED EMPLOYEE WITH PERMANENT STATUS, THIS FORM MUST BE SUBMITTED TO DAS-HRE AT STEP 3 WITHIN SEVEN (7) CALENDAR DAYS AFTER THE EFFECTIVE DATE OF THE ACTION. SEE DAS-HRE RULE 11 IAC 61.2(6).This form may be faxed to 515-242-6450, hand delivered to DAS-HRE or mailed to: Director, Iowa Department of Administrative Services Human Resources Enterprise, 1305 East Walnut, Des Moines, Iowa 50319.    * @ B n p  ȺȺvhjCJOJQJUj"CJOJQJU jCJOJQJUmHnHujCJOJQJU CJOJQJjCJOJQJUCJ^J >*CJ^J5CJ\^J5>*CJ\^JCJ hy5CJ,OJQJ\aJ,h6YCJ\]56CJ\]5CJ\^JCJ'^  uskd$$Ifl440$#`E 064 laf4$If$If $$Ifa$ AVA  B p <$Ifskd$$Ifl430$# E 064 laf4 ui]Q <$If^ <$If^ <$If^kd$$Ifl4F $x x f 0    4 laf4  4 ^ ummm<$Ifkd $$Ifl4F $x x f 0    4 laf4 \ ^ ` b v x z D F H J ^ ` b l n p r ߲ߤߖ߈zjf CJOJQJUj CJOJQJUj~ CJOJQJUjCJOJQJUjCJOJQJU jCJOJQJUmHnHujCJOJQJU CJOJQJjCJOJQJUCJ>*CJ 5>*CJ\0^ ` ui]Q <$If^ <$If^ <$If^kd$$Ifl4F $x x f 0    4 laf4 " F ummm<$Ifkdr$$Ifl4F $x x f 0    4 laf4F H p ui]Q <$If^ <$If^ <$If^kdx$$Ifl4F $x x f 0    4 laf4  : ummmx$Ifkd $$Ifl4F $x x f 0    4 laf4    4 6 8 : < > R T V ` b d f z | ~ b d t v z | ~ ܶըܶ՚ܶ>*CJOJQJh{5>*CJ\hp5CJ\j CJOJQJUj\ CJOJQJU jCJOJQJUmHnHuj CJOJQJU CJOJQJjCJOJQJU h2qCJ\5\ 5CJ\ 5>*CJ\2: < d ukaW $If^ $If^ $If^kd $$Ifl4PF $x x f 0    4 laf4 | uoog($If$IfkdH$$Ifl4F $x x f 0    4 laf4| ~ uoe[ $If^ $If^$IfkdN$$Ifl4F &$x  0    4 laf4 bdhjtv&(*,.NRTVjlnxzμ΄sjCJOJQJUCJjCJOJQJU 5CJ\ 5>*CJ\ hG,5CJ5CJ hG,5CJ hG,5 5CJ\5\jCJOJQJU CJOJQJ jCJOJQJUmHnHujCJOJQJUjbCJOJQJU- uqmeZ$If<(kdN$$Ifl4F &$x  0    4 laf4*,.,*`kdt$$Ifl $h%04 la$$If]^a$`kdb$$IflP$h%04 la.RT|~.[kd"$$Ifl $h%04 la$$If]^a$[kd$$IflP$h%04 laZ$Ifz|~<<<<<<<<====================>>>>0>2>4>>>@>B>D>ƻsjCJOJQJU 5CJ\ 5>*CJ\j CJOJQJU jCJOJQJUmHnHujCJOJQJUjCJOJQJU>*CJ 5CJ\5OJQJ\5CJ\^J56>*CJ\]^JUCJ^JCJCJ CJOJQJ-~<<}r $x$Ifa$P$If $$Ifa$$If[kd$$Ifl$h%04 la $xx$Ifa$The Iowa Department of Administrative Services  Human Resources Enterprise Does Not Accept E-Mail Filings of Grievances. 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