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Relief Requested: Indicate the action(s) that would resolve your grievance.
My signature indicates that the information contained on this form and attachments to this form are true and factual to the best of my
knowledge.
Employee's Signature Date
Group Grievance: If this is a group grievance, attach a list of all employees who are parties to the grievance. The list must include each
employee's name, day time phone number and signature(s). The list must also designate one employee as spokesperson for the group.
For Personnel Office Use
Signature of Personnel Officer Date Received
Note: Grievance is not officially filed until this form is received by the Department of Human Resources
Non-Grievable Issues for Unclassified Employees
The following issues are not eligible for processing through the SOWELA Technical Community College Employee
Grievance Procedure.
1. Issues which are pending or have been concluded by the Civil Service Commission, or through other
administrative or judicial procedures.
2. Performance responsibilities, expectations, and evaluations.
3. Temporary work assignments.
4. Budget and organizational structure, including the number or assignments of positions in any
organizational unit.
5. The selection of an individual to fill a position, unless it is alleged that the selection is in violation of an
agency’s written policy.
6. Termination, demotion, reassignment, furlough, layoff from duties because of lack of work, or other
actions resulting from a reduction in the work force or job abolition.
If the subject of your grievance is related to any of the areas listed above, your grievance cannot be processed through
the Employee Grievance Procedure.
For Assistance
Contact:
Hours:
Telephone:
Address:
The Office of Human Resources
Monday through Friday 7:30 AM to 4:00 PM
337/421-6510
3820 Senator J. Bennett Johnston Avenue, Lake Charles, LA 70615
Mail, fax, or hand deliver your grievance to the following:
Name:
Address:
Telephone:
Fax:
The Office of Human Resources
P. O. Box 16950, Lake Charles, LA 70616-6950
337/421-6510
337/491-2135
Form 229B
