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Grievance Response Form

(You may respond in letter form, if you prefer.)

A grievance has been filed against you by the person(s) listed below.  Please review the enclosed grievance petition and respond to the nature of the grievance.  If you have any questions, please contact the Grievance Committee chair, Jim Bothmer, at 280-5120.  Thank you. 

Please return the signed form along with any attached documentation to the University Grievance Committee.

Respondent’s name(s): _____________________________________________________ 

Department:  _____________________________________________________________

Contact phone numbers:  (work):  ______________  (home):  ______________________

Respondent’s response to grievance petition.  (You may use additional paper if necessary.)

 

 

 

 

 

 

 

 

 

 

 

 

Please indicate any individual(s) the Grievance Committee may contact regarding the grievance.  (Include their name(s), department(s), and telephone number(s).)

 

 

 

 

 

 

 

 

 

 

 

Signature:  ________________________________  Date:  ______________________

(Form is available to download at the Grievance Website: http://www.puffin.creighton.edu/grievance/)