Get Nc Dhhs 0660 2014-2026

The NC DHHS 0660 form is designed for individuals who wish to file a grievance with the North Carolina Department of Health and Human Services. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the NC DHHS 0660 form online

1. Click ‘Get Form’ button to access the NC DHHS 0660 document and open it for editing.
2. Provide your full name in the designated fields, including your first, middle, and last name.
3. Select your race, gender, and age from the available options in the respective fields.
4. Fill in your mailing address, making sure to include the complete address and zip code.
5. Enter your home and cell phone numbers, including area codes. If you do not have a personal number, list an alternate contact number.
6. Input your business telephone number where applicable.
7. Provide your email address for correspondence related to your grievance.
8. Indicate the division, facility, or school, along with your work unit.
9. Specify your work location by entering the city or town.
10. Input your present or former classification and salary grade, or the salary grade equivalent for career banded classes.
11. Select your employment status from the given options, including current, former, career, probationary, or applicant.
12. Describe the grievable issue you are facing, consulting Section 7 of the State Human Resources Manual for guidance on grievable issues.
13. Indicate whether you have discussed the grievable issue with your supervisor and provide the date of the discussion if applicable.
14. Write a brief statement describing the issues and facts that form the basis of your grievance. Use additional sheets if necessary.
15. Clearly state the desired relief or resolution you are seeking.
16. Sign and date the form in the appropriate fields, confirming your submission.
17. Once completed, save your changes, and remember to download, print, or share the form as needed.

Complete your NC DHHS 0660 form online today and ensure your grievance is timely recorded.