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About the PPSM Grievance Form
Policy 70 - Complaint Resolution

Process tips       Acrobat  (PDF) version tips     Word version tips

In Adobe Acrobat (.PDF) Format
If you have the free version of Acrobat Reader, you can complete the .PDF version of the   form on line, print it out, and send it via campus mail (see below for details).  

If you have the full retail version of Adobe Acrobat (less than $100 from The Scholar's Workstation) you can complete the form on line, save it, attach it to an e-mail, and send it to Human Resources. If you submit the form electronically, you must submit a hard copy showing the original signature within 5 calendar days of the original filing deadline. The complaint will not be processed until a copy with the original signature is received by the Grievance Coordinator. See below for details.

Mac Users: You must have "Adobe Acrobat Reader" to download and use the PDF version of this form. Instructions for downloading and installing Acrobat reader are available at http://hrweb.berkeley.edu/forms/formlist.htm . Be sure to use a .pdf file extension in the filename.

PDF tips:

  • As you scroll over the form, your cursor appears as a hand icon. 
  • Move the hand icon to the any field and left-click to enable the cursor.
  • Use the tab buttons to move from line to line. 

Note: If you routinely use keyboard shortcuts when editing documents, we suggest that you use your usual word processor for large blocks of text and then cut-and-paste them into the .PDF form. Some standard keyboard shortcuts perform different functions in interactive Acrobat forms and it can be frustrating for those who use keyboard shortcuts.

Open PDF version


In Microsoft Word Format:

The Word version can be completed on line, saved, attached to an e-mail, and sent to Human Resources  or it can be completed on line, printed out, and sent to Human Resources by e-mail. If you submit the form electronically, you must submit a hard copy showing the original signature within 5 calendar days of the original filing deadline. The complaint will not be processed until a copy with the original signature is received by the Grievance Coordinator. See below for details.   You may wish to save it wherever you normally save documents on your computer (e.g., Worddocs). 

Mac Users: You must have a recent version of Word (MS Word 98 or 2000) to save and send the electronic form so that we can access it.

To complete the form:

  • Move your cursor to the grey space in any field. The grey space supports an unlimited amount of text, although it looks small. Keep typing and it will expand. (However, please be succinct.) Do not use the Enter key to add space.
  • Use the tab buttons to move from line to line.
  • When you have a choice of boxes, enter an X in the box that reflects the correct choice by clicking inside the box. Please check only one box where appropriate.

Open Word version


Process tips:
Any formal complaint regarding a specific adverse management act or allegation of a violation of Personnel Policies for Staff Members must be filed on this form and submitted to Human Resources, 207 University Hall - MC 3540, within 30 calendar days of the incident you are grieving. See Policy 70 and the procedures that supplement Policy 70 for details on filing grievances.

Instructions for completing and filing the form are contained in the Berkeley Campus Implementing Procedures that supplement Policy 70.

Note: this grievance form does not pertain to classification appeals (see Policy 70.A.)