Employee Portal

Appeal Policy: An appeal may be filed by any employee receiving a disciplinary action (written warning, final written warning) that the employee believes was applied based on inaccurate or erroneous information.

Definition of Appeal: A written statement filed by an employee seeking review of a disciplinary action, i.e. written warning, final written warning, that the employee believes to be inaccurate due to erroneous facts and/or misapplication of an Agency Policy or Procedure.

Note: The appeal must be submitted no later than seven (7) calendar days of the action which serves as the basis of the appeal. See the ACTS Personnel Policies for additional specific guidelines for appeal.

Employee Disciplinary Appeal

"*" indicates required fields

Date of Appeal*

Date of Disciplinary Action*

Name*

Job Title*

Work Location*

Phone

Basis for filing appeal*

From the definition above, identify the disciplinary action you are appealing. (You will need to provide a copy of the disciplinary memorandum to Human Resources.)

Written Warning

Final Written Warning

Factual statement specifying the reason you believe the action taken was inaccurate or made in error:*