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[header]DISCIPLINARY APPEAL[/header]
[legend=1. Appealing Employee Information]
[b]1.1. Full Name:[/b]
Firstname Lastname
[b]1.2. Rank:[/b]
[b]1.3. Assignment / Unit:[/b]
[b]1.4. Contact Information:[/b]
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[hr]
[legend=2. Disciplinary Action Being Appealed]
[list=none]
[b]2.1. Date of Disciplinary Action:[/b]
DD/MM/YYYY
[b]2.2. Issuing Supervisor:[/b]
[b]2.3. Type of Disciplinary Action:[/b]
(Reprimand, Suspension, Demotion, Termination)
[b]2.4. Summary:[/b]
Brief description of the disciplinary action issued.
[/list]
[/legend]
[hr]
[legend=3. Grounds for Appeal]
[list=none]
[b]3.1. Basis for Appeal:[/b]
Provide a detailed explanation outlining why the disciplinary action is being appealed. Include any relevant facts, mitigating circumstances, or procedural concerns.
[b]3.2. Supporting Information or Evidence (Optional):[/b]
Include any supporting documentation, statements, or evidence relevant to the appeal.
[/list]
[/legend]
[hr]
[i]
Submission of this appeal authorizes the Bone County Sheriff’s Department Internal Affairs Division to review all relevant records and materials associated with the disciplinary action.
Employees shall not contact Review Board members or Internal Affairs staff regarding the appeal unless directed to do so.
[/i]
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