( * ) Denotes Required Field
choose one
Check one or more of the following
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.
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
Examples of other filings: a grievance; a private law suit; an EEO complaint; a complaint with the Civil Service Commission.