Form Di 7600 PDF Details

At the heart of workplace dispute resolution within the United States Department of the Interior, the Administrative Grievance Form, identified as DI-7600, serves a pivotal role in the formal grievance process. This comprehensive document, last revised in January 2014, encapsulates a structured approach towards airing and addressing employee grievances. It meticulously outlines the necessary details required from the aggrieved employee, including personal and job-related information, designation of a representative if any, and specifics of the management or HR official to whom the grievance is directed. Critical to its function, the form inquires about the employee's membership in a bargaining unit under a collective bargaining agreement, distinguishing between Step 1 and Step 2 grievances, and elucidating the desire for an oral presentation or the preference towards alternative dispute resolution methods. Additionally, it is incumbent upon the employee to provide a detailed account of the grievance, specify the date the issue arose along with when the employee became aware of it, and articulate the personal relief sought through this process. The form also queries about prior attempts to resolve the issue through other formal channels, ensuring a holistic view of the grievance’s history. The procedural steps, from employee signature to receipt by supervisory or HR personnel, underscore the form’s vital role in facilitating transparent, structured, and effective resolution mechanisms within the Department, thereby affirming the organization's commitment to fairness and accountability.

QuestionAnswer
Form NameForm Di 7600
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesagf di 7600, administrative grievance form di 7600, di 7600 administrative, di 7600 form

Form Preview Example

370DM771

Page12of12

DI-7600

Rev.1/2014

UnitedStatesDepartmentoftheInterior:AdministrativeGrievanceForm

NameofEmployee: __________________________________________________________________

Employee’sJobTitle: __________________Employee’sWorkEmail: ___________________________

Employee’sBureau/Office: _________________Employee’sWorkPhone: ___________________________

NameofEmployee’sRep.: ___________________________________________________________________

Representative’sOffice: _________________

Rep’sWorkPhone:

______________________________

NameofManagementorHR

OfficialreceivingthisGrievance*: _____________________________________________________________

AreyouaMemberofaBargainingUnitthatis

 

CoveredbyaCollectiveBargainingAgreement?* (____)

Yes (____)

No

IsthisaStep1orStep2Grievance?

_______________________________________________

IfStep2,AreYouRequestinganOralPresentationtoDiscussthisGrievance? (____)Yes (____)No

AreYouInterestedinParticipatinginAlternativeDisputeResolutiontoResolvethisGrievance?**

Yes (____)No

DateofActionGivingRisetoGrievance: __________________________________________________

DateEmployeeBecameAwareofAction: __________________________________________________

DetaileddescriptionoftheGrievance (attachadditionalpagesasnecessary):

PersonalReliefRequested: Toqualifyaspersonalrelief,arequestedremedymustdirectlybenefitthegrievant,be specificandclear,andmaynotincludearequestfordisciplinaryactionagainstanotheremployeeorasupervisor:

HasacomplaintorappealonthisissuebeenfiledwiththeOfficeofCivilRights,BureauEEOOffice,theEqual

EmploymentOpportunityCommission,MeritSystemsProtectionBoard,theOfficeofSpecialCounsel,Federal

LaborRelationsAuthority,Unionorotheroffices?

Yes IfYes,withwhom? ______________ (____)

No

EmployeeSignature: _____________________________________ Date: ____________________

DateReceivedbySupervisororSHRO: ______________________

Maybefilledinorchanged,asappropriate,bytheServicingHumanResourcesOffice

ADRmaybeofferedatManagement’sdiscretionattheStep2Grievancestage

AcopyofthisformMUSTbeprovidedtotheServicingHumanResourcesOfficebythegrievant

4/6/2015 #4008 Replaces12/19/2014 #3996

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Stage number 1 of submitting 7600 a b form

2. When this part is filled out, go on to enter the applicable details in all these: Yes No, DateofActionGivingRisetoGrievance, DateEmployeeBecameAwareofAction, DetaileddescriptionoftheGrievance, PersonalReliefRequested, Yes IfYes withwhom No, and EmployeeSignature Date.

EmployeeSignature Date, DateEmployeeBecameAwareofAction, and PersonalReliefRequested of 7600 a b form

As for EmployeeSignature Date and DateEmployeeBecameAwareofAction, be certain that you get them right in this section. Both of these are the key ones in the form.

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