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Get A9140 - Attachment B Internal Complaint Form Final .pdf
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How to use or fill out the A9140 - Attachment B Internal Complaint Form Final .PDF online
This guide provides a step-by-step approach to filling out the A9140 - Attachment B Internal Complaint Form Final .PDF online. Whether you are a civil service employee or a member of the public, this form is essential for lodging complaints about personnel actions.
Follow the steps to complete the form accurately
- Click the ‘Get Form’ button to access the A9140 - Attachment B Internal Complaint Form Final .PDF and open it in your preferred online PDF editor.
- Begin by providing your contact information. Fill in your name, bargaining unit, position number and title (if applicable), division, branch, section, mailing address, and phone numbers for home and work.
- Indicate the type of complaint you are filing by selecting one of the options provided on the form, such as recruitment, examination, classification/reclassification, or other employment actions.
- In section A, cite the specific personnel law, rule, or written policy that you believe has been misinterpreted or violated. Be precise and clear in your reference.
- In section B, provide a detailed statement of facts supporting your allegation. Attach any relevant documents that support your claims, such as policies or witness statements.
- In section C, describe the remedy you are seeking. Clearly state how you believe the complaint can be resolved.
- Once all fields are completed, sign the form in the designated area and date it.
- Submit the signed complaint form along with any required DHRD forms and supporting documentation to the System Director of Human Resources by hand delivery or mailing it to the provided address.
- After submission, keep a copy of the completed form and any supporting documents for your records. You may also want to track the submission date for future reference.
Start filling out the A9140 - Attachment B Internal Complaint Form Final .PDF online today to ensure your voice is heard.
The New York State Division of Human Rights is dedicated to eliminating discrimination, remedying injustice, and promoting equal opportunity, access, and dignity. Our vision is a New York free of discrimination where everyone can fulfill their potential and participate fully in the life of the state.
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