VFF GRIEVANCE/COMPLAINT FORM



BUTTE COUNTY FIRE DEPARTMENTVFF COMPLAINT FORM FORMCHECKBOX Grievance FORMCHECKBOX Complaint FORMCHECKBOX Harassment FORMCHECKBOX Discrimination FORMCHECKBOX Informal FORMCHECKBOX Formal (File a formal complaint directly to the Fire Chief or outside the department)VFF Name: FORMTEXT ?????VFC: FORMTEXT ?????Date of incident: FORMTEXT ?????ISSUE: (Please explain issue fully – use attachments if necessary) FORMTEXT ?????INFORMALDate discussed with Volunteer Captain: FORMTEXT ?????Name: FORMTEXT ?????Date discussed with Volunteer Liaison Officer: FORMTEXT ????? Name: FORMTEXT ?????Date discussed with Career Captain: FORMTEXT ?????Name: FORMTEXT ????? Date grievance/complaint delivered to Battalion Chief: FORMTEXT ????? BC Name: FORMTEXT ?????Informal level Decision: FORMTEXT ?????________________________________Battalion Chief (Signature)Date returned to VFF: FORMTEXT ?????VFF Response to first level decision: FORMTEXT ?????FORMALDate forwarded to fire chief: FORMTEXT ?????Date discussed with fire chief: FORMTEXT ?????Formal level Decision: FORMTEXT ?????________________________________Fire Chief (Signature)Date returned to VFF: FORMTEXT ?????(The Fire Chiefs decision is final) ................
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