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SOWELA Technical Community College FORM 229
SUPERVISOR RESPONSE
DO NOT USE THIS FORM IF YOU HAVE BEEN TERMINATED. Please type or print using a ball
point pen.
Employee Name:
Job Title:
Supervisor’s Name:
Position:
I have read my supervisor’s response to my complaint and I understand that if I wish to
further appeal my complaint I have five (5) working days from this response to submit
the grievance to the next step in the procedure. Grievances not appealed in a timely
manner are considered settled at the previous level. I UNDERSTAND THAT ALL
GRIEVANCES COMPLAINING OF A TERMINATION ARE AUTOMATICALLY
DENIED AT THE TIME OF FILING.
Date: ____/____/____ Employee Signature: ________________________
•Supervisor returns original to employee
•Supervisor retains copy for file
Supervisor’s Response To Employee Complaint: DO NOT USE THIS FORM IF THE
GRIEVANCE INVOLVES A TERMINATION. GRIEVANCES CONCERNING
TERMINATIONS ARE AUTOMATICALLY DENIED AT TIME OF FILING.
Date: ____/____/____ Signature: __________________________
Once you have completed this form, please return to the employee and have the
Employee Sign the acknowledgement below:
Please sign below to verify you have received a copy of Form 229 Employee
Acknowledgement of Grievance Form signed by your supervisor.
Employee’s Signature Date
