Get Level Iii - Mediation Request Form

Filling out the LEVEL III - MEDIATION REQUEST FORM is an important step in resolving a grievance through mediation. This guide aims to provide clear instructions on how to complete the form accurately and efficiently online.

Follow the steps to complete your mediation request form online.

1. Click ‘Get Form’ button to obtain the LEVEL III - MEDIATION REQUEST FORM and open it in an appropriate online editor.
2. In the 'Name of Grievant' field, enter your full name. This identifies you as the individual requesting mediation.
3. Indicate that you are requesting the consent of the MiraCosta Academic Associate Faculty to appeal your grievance to Level III Mediation. This can be done by checking a box or entering a statement in the designated area.
4. Fill in the date next to the 'Grievant' field. This date should reflect when you are submitting the form.
5. Leave space for the MCCAAF approval. This section is usually filled out by the relevant authority after reviewing your request.
6. Similarly, include space for District approval. The Vice President, BAS will complete this section post-review.
7. Acknowledge the understanding that the cost of mediation will be shared equally by MCCAAF and the District by reading the provided statement.
8. Enter the date you are submitting the request to the California State Mediation and Conciliation Service in the designated field.
9. Fill in the expected date of mediation if known. This section allows for planning purposes.
10. After the mediation process has been completed, record the disposition date and any relevant notes in the provided space.
11. If necessary, attach relevant documents that support your grievance. Ensure these attachments are well-organized.
12. Complete the HR office use only sections, noting the date received and assigning a grievance number if applicable.
13. Once all fields are completed, save your changes, and use the options to download, print, or share the form as needed.

Complete your LEVEL III - MEDIATION REQUEST FORM online today for a timely resolution to your grievance.