File A Retaliation Claim

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Basic Information

Original Report

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Check one or more of the following

Adverse Action(s)

Example: I was placed on unpaid administrative leave for 2 weeks

Example: My supervisor M. Smith, and Department HR Director L. Jones

Example: I reported to Smith, my manager, that Williams was using a City truck to move their family to their new house over the weekend. For the next 2 months Smith checked on my arrival time every day and finally wrote me up.

Desired Results

An example: I would like to be compensated for the time I spent on administrative leave and have all documentation associated with the action removed from my personnel file

Other Actions Filed

Examples of other filings: a grievance; a private law suit; an EEO complaint; a complaint with the Civil Service Commission.

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