HomeMy WebLinkAbout1992-07-28; City Council; Resolution 92-2401
2
3
4
m
RESOLUTION NO. 92-240
A RESOLUTION OF THE CITY OF CARLSBAD, CALIFORNIA,
APPROVING A POLICY IMPLEMENTING GRIEVANCE
PROCEDURES AND A COMPLIANCE ACTION PLAN FOR MEETING
REQUIREMENTS OF THE AMERICANS WITH DISABILITIES ACT.
WHEREAS, The United States Congress has enacted the Americans with Disabilities
!j 11 Act (the "Act") to provide a national mandate for the elimination of discrimination against
6
7
8
9
10
11
12
13
individuals with disabilities; and
WHEREAS, the Act requires public entities to disseminate information to applicants,
participants, beneficiaries and other interested parties to inform them of the rights and
protections afforded by the Act; and
1 WHEREAS, the Act requires public entities to designate an employee responsible for ~
ensuring that their organization complies with the Act, establish a grievance procedure to
assist individuals in resolving complaints and establish an action plan to describe how I
14
15
facilities will be altered to provide access for disabled individuals;
California, as follows: 16
NOW, THEREFORE, BE IT RESOLVED by the City Council of the City of Carlsbad,
17
2. That the City Manager is hereby designated as the employee responsible for 18
1. That the above recitations are true and correct.
I' i1 ensuring that the City complies with the Act and that the City Manager may delegate this duty , I 20
21
22
23
24
25 I
so long as the name, title and location of the responsible employee is posted so that an
individual with a complaint can easily locate the person.
3. That the Americans with Disabilities Act Compliance Action Plan attached as
Exhibit A, which identifies facilities in need of modification to meet Americans with Disabilities
Act requirements, is approved, and physical or other remedial measures will be taken to
I ensure the City is in compliance with the act. 26
27
28
/I1 ~
111
11 Ill
I/ 0 0
1
2
3
4
5
6
4. That City Council Policy Number 52, Grievance Procedure Policy for Allegations
of Non-Compliance with Americans with Disabilities Act, attached as Exhibit B, is approved.
PASSED, APPROVED AND ADOPTED at a regular meeting of the Carlsbad City
Council held on the 28thday of JULY , 1992 by the following vote, to wit:
AYES: Council Members Lewis, Kulchin, Larson, Stanton
7
8
9
10
NOES: None
ABSENT: Council Member Nygaard
11 ATTEST:
I.z b J. L
13
14
16
15
(SEAL)
17
18
ALETHA L. RAUTENKRANZ, City Clerk \
19 I
20
21
22
23
24
25
26
27
28
e w " -. . . - . . . .
CITY OF CARLSBAD
AMERICANS WITH DISABILITIES ACT
COMPLIANCE ACTION PLAN
President George Bush signed the Americans with Disabilities Act (ADA) on July 26, 1990 and
its provisions went into effect on January 26, 1992. The act provides comprehensive civil rights
protection to the disabled in the areas of employment, State and local government services,
public accommodations, and telecommunications. An individual is considered to be disabled and
protected under the act if they have a physical or mental impairment that substantially limits a
major life activity such as walking, seeing, hearing, speaking, or performing manual tasks.
An ADA Task Force has been established to ensure that the City of Carlsbad complies with ADA
requirements. An evaluation of all City services, programs, and activities is being conducted to
determine how disabled individuals are accommodated or how they can be accommodated in
the future. A report on the findings of the evaluation will be completed and made available to the
public prior to January 26,1993. City of Carlsbad facilities have also been inspected to determine
what alterations are needed for them to meet Americans with Disabilities Act requirements. The
necessary alterations are listed on the attached pages along with the estimated costs and year
in which each project will be completed. The City Manager is responsible for implementing the
modifications identified in this transition plan.
City employees and the public have also been surveyed to identify how the City can better
accommodate the disabled. Suggestions obtained through the surveys, and responses to those
suggestions from the ADA Task Force, are summarized below:
A number of survey respondents commented on the fact that there is no handicapped parking
or access to City Hall from the main parking lot. Handicapped parking and access is provided
in the smaller parking lot in the rear of the building. There is a sign ,indicating this in the main
parking lot. A larger sign will be installed to provide better notice concerning where the
handicapped parking is located.
Several suggestions concerned modifications to restrooms and public telephones in City facilities
to make them more accessible to disabled individuals. Restrooms will be modified to better
accommodate the disabled as outlined on the attached pages and the ADA Task Force has
requested that the telephone company install phones for the disabled.
Two survey respondents suggested that more citations be issued to those illegally utilizing
handicapped parking areas. The Police Department has been notified of problem areas indicated
in the survey responses.
A group of suggestions concerned equipment that could be installed in the library to better
accommodate patrons with vision impairments. The library has recently installed a print magnifier
which was suggested, but will not be able to provide a speech synthesizer for the on-line search
system as suggested because it is not compatible with the INLEX system currently being used.
A telephone device for the deaf (TDD) will also be installed in the library and the current elevator
will be renovated, or replaced, to meet ADA requirements as part of the future library renovation.
ADA ACTION PLAN @ e
Page 2
One respondent suggested that employment messages for the hearing impaired be provided.
The Human Resources Department is currently evaluating the most effective method for providing
this service.
One group of suggestions concerned the development of a procedure for evaluating requests
for service or accommodation and establishment of lists of employees or others who use sign
language or other types of services which departments might need to utilize in serving the
disabled. The Task Force has begun identifying the sources of such services and will develop
the procedure and lists as suggested.
Several respondents suggested that automatic doors be installed in City facilities. This
modification is not required by ADA regulations and the cost of doing so is prohibitive at this
time.
w e
@ I
I I
I
$2
w
E2 E E !E ir;: 238 5 m
c\I ch
? Id- ? ? ? I? m m m
zz ch Im cv cv cv i” ch ch ch
I I
0 b 0 lo
0, 0, 0 0 0 0 IO
0 0 0
% !z 8 rl rl
0 uFi :+ rl
z WGe I
I
I 1
I I
I
I
I
! a
$ z 0 VI ui
rl
H F4 4 0
a %
3
3 s 2
Y?
2
$
3 E
e
z 2
0 m
ai3 D 32 6 ZeE g o\ x o\ is x 28 z 22 2 E! :E ' 2
53 2 s+ 8 :In 2
I I I I
I
m In m I* In cf cf cf !cf cf N N
Es: 0 0
I
0 0 0 is 0 0 0
0, 0, ;q 4
! "E m rl I
I
I I
I I I
I I
I
I
I
I
I
W i
I
3
I
1
4
P j
i 2 n 2 2g 5 '3 F; e, 3 'Q ;k! g 2 :s : 8 I 8
iW $4 g 4 I 2 iP 2: tn g I 5 3% 1 2 8 Eiz SI 82 $3 & cd 3=
*GI d; Ej zEj vi%& !3
?a aa aj Ej viaJqj a&+ ZE a.X?31 2 3 ,jalzuo5 ZWtJ ga3wajmo Zf.;;;z;od 00
C bo.3 cd g g 3 g g2 &Z &S bo& 0 -4 &-I &A -$g 4 ma a& 4-4s aha am4-l%m3$ 3.5 g& &. cd 4 > %$ggg& !3 gs -GISis JpiZz &&SI Es2 $2
3 =:a&%??& cd cd cdSS3 w &=: a&&Laz =:=ai99 9G z Za$ 2::g223 ZZZ!oo ~~~I-da aa 00 ssgzzz z szfi sEzEsaS saa:zz zz
4 I
4-l
0) lz
bocd dm 2 vi 4-l
3 r= a a U ax Gg ;
ow
cd 4-lA
.GI& &
mrntnooo 0 moa
4
"4-l
2 AAAAAA A AAA AAAAAAA AAAIAA AA I
rl 8 I
b
W -2 % 5%
Gz 3 5 8 =: !z
$a .I4 W 2 2
P g$ 3 bo % c, 3 2
AE 2s -8 w LO XU 3= 3
aJ
4-l F: 0
0
E zc -de z 4 -
N
2 p: t-l 0 0 m m 9 6 3 2 d
E $
i 2
2 z
m e
43 D 83 ?
I
I
I
I
-4-
o\ c\1 -4-
m v)
1-4- ? Iv) ? ? l? m o\ UO z5: 2 2 2 mu 2
o\ g
15
i2 io\
Eg
I I
0 0 0 0 0 0 IO
IO
lo
E$ Zn I 0, 0, In 8 8
[ "El+ l-l
w I I I
I I
: : i f
3 1 . ;
4 3 I
i
2 q
if! :E Lg pfj 3w !s
g@ I '5
3 bo
$$ gE$$ CI+W m (d mg cda z mea $$ - zz.d.d - aai g.5 \a, pg=: =:G.&GG =:=:=:a=:g a=: Gg=: =:
g g& a; t; g aJ 2Q gA $42 AAZ a E g &.$)A P)y&q >
P)a,m=/Icdawmc k (d E*$ g SS*ZE Sg&*C 4
cd mzsi .& 5 eja 325 act: aa ah CQ a 3a gzz 4
aaku' 8Zg.g gEs32g -2-Zzgj 0 0 .4 aj g2zz A"oEn .%.%2 0; ;s; 3: El ajP E >E ijazg 2 a ZaJ~ja ?a .gi g$&% -2 .2 %8 ui 2. 01 .CI 2
(dm 3: ad E 8 sz $2
AA <! = g t;2 3 -8s SS 4
,,aa"da(dam ozoomvl vlmm0t;O vlmo0:O~~o~ EsZzgg gss,Esz SZdSZE SSEEjEdWES
'0
I
'3 a!
$3 2.i -4 .d g
d
I .d
aa m
C
aa *
CI
3 :vi
-4 z P) CC
aa'S ul e
!
i 2 AAAAAA AAAA:AAAAA AAAAAA AAAAAA t
G 2
2 cd b -2 6: u 8 2 s!i 0 2 E s a tl 2
.F y k al +k k b
ma, a 23 g gfl 3 Zd clu cl
m
E k
I+ 0 0 m o\ !3 h 3 5 s 5
3
a
6
? E
3:
a
@ 3au.
0 0, 0 0, u) z 63
2 2 2 2 w
In In $ In
La& g 8 g g ZE ? ? ?
F- 0 0 0 0 0 0
0,
; 8E N
jw
j 3
4
u z
?a
t%
'CJ 2 42
5
iz
4 8 n!2 g k &$ q g 2
gg 2 F; i9
g
'41 0 $2 qP) g 3pg g2 OF; v; 4.; !isdv; E v;v;q E! S&*&3 v;oc !?& 2 AG v; v;z 3 3 a&cdcdzodcdo hE
3, AAAAAAAAAA AAAAA AAAAAAA AAAAAAAAA E1 4SSSZSZZGZ ESEZS <EEfiSdd <ZZESZS,EZ ~ooo~omoo ~~~~ozoozo -gs-g-gz am**+z2 aaa aasaa S=1==1=:g=:gg& gqggg awz, 44 u (d cd u 3ggg=:g=:gg 3zzsrJ m
$
3 g-$&& %g 5 +& c Q-cJ 04.g gm A'41 w2 + c k.5; % a cd&.&G ; -r( E: (d +qj.g)IZ 2 -g cdaa k aP)2$.3 aaP)&a " mm&mtGg 3 ca"a(d u !z& 3 e, a.G pcLd $&z* c aaJ bo3 cd@ * 2 e 4
ad(d.d~~~oU qEz0d zEy&Ag
-I -I
vi P)
'3
c;
a% a 2 g .!-I 7 0
Ei Q& a P)->o
&2* 0 bo abo.2 2 (d4 m-c u v;
*~:UQV
a*
Q a ma mea ma
aOOmme,P)
3 a^
%
2 s P)
!3 ?3 Ed .r( +
v cd ?i uc gj 2 -2 % g tp I= E! 3:
E2 z cl
a8
5
rff
P) 5 3 -2
2 4 -2 5 2
IJ
rff
*
H F4
0 l-l
0 m QI c? 3
5 d
E
3
5
5 E!
9 5
w w
@ 52
ZE2 ii $
~ 88
* ? M ? q MM T? ZeE
EZ
g N N m (324
,030, 0 0 0 00 0
q$ 2 uE 0 % 0, 0, 2 M L",
0 rc b rc \b
Ge N
W
&
Y m G s
wl 1
2
w 4 =1 gg&%g iq % 2?,-2?ri?=12? m.+% mz
aJ IF:." aaJ24-d Q mg 2.gJg22g
Jz -g 5; JdA g a r:. 2 Q2B:: 2s -d ugmd kzs Ga.i &q 0 'ZbO 3-G uQj*gzg 3 .d 2 $2 S-2 2 o=+u aJ aJ 3 @2 - vi mv) a ma e2 m.-l m a 2 g. .A 2 Eg -4 & h a-s s -2 -E 9 .;g 2 23 5
.$ .$ 5
2 G
aJ a %.
%g 88
ti
s% rA -2
:m
-3 m 35 d,m 3 (daJ S$
CY via aJu
a+
m
ii
2 0 " mbo v)
a&
v)
2 3 3 ZZGZSE 4s ZGEESZ ooso';o zs osooso o z a 2 aama a
2aJ v) v=
AAAAAA A A A AAAAAA AA
I
Ea a $4 k e da g u 3= U 3 85s g
8 cnz; E c/l m 2 2 5 -2 &Ek 35 E -5 (d
Jd aJ % 0) W
Jd 'r: Y
d .r( 2
cn
u:
z
r C
0 s 5 5
/ 4 : C e 5
e ,
5 :
E C
85
0-0, 2" %
238 EE E E EE E
o\ CR $2 $ m m 9' m 9' cf m cf m Cf 9' $E 6 d- m d- d- d- d-
M o\
* cf
CR CT o\ CR M
E =e2
I 00 0
+33
m+ l+ bOlnhlrCl+ 0~00 \Dm l++ mmv, om
00 0 000000 0000 00 00 000 00 0
00 0 000000 0000 00 00 000
0" 0,O"
6464 €6, -69 64 64
0,m Ln, ~"o,o,o,Ln,~ O,O,O" 0, 0-0, 0-0,
0 U ml+ +N+d hld
g 5
m 5
d
I m %
I %
I G 3 W
in g KJ 5 WKJ 8
I2 m 8 a, cd
'2
3
gp U aJ 3.9 a 4 5g
c1 aJZ s r-0 2 %E 7 $E3 k.9 @ 7 aJz+ :E+ h7W d $smr r" '3 8 E KJ'4i 'E 2 g2 krn szzg 8 -2 .,-I .3 "a -5 aa "3 22 a, aJ jE 39 %e% 028 23 ss 2E2E a 2< %g % $3 KJs &&g +A\ $3 wa KJ';=g-5 -rl zg +ccI aJ d v" Z' Q 9.2 22 "2 w.2 5ga g & 0 .g Vk ;e.;-% .4G "IC JE-d aJ -a -4 Gr a, *: .; -8
auz u .rl .2 "2 (a .2 cd 4-4 aJ KJ 2 6.2 6.2 * 0.2 iE
4 KJ-dd!+ 2 f& -LE 0-4 4 mou8 a5E +s +s &do 04 04 Ad
4 % E" sgq s I/) 22.gs3 $ +r2 mm w+ 6, E urn- mm $2 zpow r$ gZ.2$% 2 g -4 a.3 a Ez5 8% ww gap u waayy OOE ww cdKJ ww KJKJ %gzE a W qp- gaeg
m-24 h -w%
a 5 9-3 aa $2 S-zJSs 3 t!"$$ $
ZZ x mKJmamx3= mr%mm 3:3: x3: 2 m<& w.4 322c 5% % 28322KJKJ 2322 5% %% a h ha,- 2
2 %aJ'3%3 a'33 .2 .2 u -5 sa w w a @KJ a -2-2 2 3 -5 %%a $$
a m
I aJ JZ 0 a
I
k m
( 0 a,
W
+
d
1 $9 0 -a- KJ mi?? 2 -4 :5
=I KJ
Gcr .a =sldE 5 Wcl
cy u += ado
d
KJ
+aJ E
r
Sa - ;F: -- -a+ - .- W
aathaJcc $ha,a, a-d %% ba UaJh 2a3a
B a Z%Za3 KJ-dKJaJa, E+2+ 0 v.a -LE *&E 0 -a W%
4 mv) mm m m mrn wm
I aJ w a,aJ
KJa cd wu w vu
2 % ma il
maw KJ
AAA AAA AA A A AAAAA AAAA AA AA
8 a 8 8 a z m E 5+
;!i 3 U l+ 5r; hl 5 8 !I og.
fg ; 34
a, -4 8 L4
E2 E qa w 8 3
W KJa E E* 43
Ob U
z 0 w 'sz 5 G5 4 z a c4 hS au d 0 0 32
3
\D
QZ ys
xz E 2 E E
@ v) m m
d- d- d- m m m n
? ? m ? cf\ Oj a, s 3
wa
gs
*qg5 * $1 - €e €9 €9 €9
.6, n $gy m m Nd- 8 !3 0 Gn :e En 2- Zn 0, 8 z, o,o, 0, g, 8 8 o,o,o, 2, p- b
l
i
bbUZ b 3
yyp g ,j
n cn w Egg m 0
1 ! .d CI 5 -33 ps 8
2 WaJ e
i$
2 cn $3 3 a 1 Qo' 33; cn E in aaJ I2 '=: -3 z W JZa 3 3
1 Gw E cd @-d v :5 cd $9 ou
4 8s -2 Lis $ $ 3 & m W 1
Zb 5 a .%-I :cg g 8 z n 3
3E pgg c, Or G cd h +4%% -d 728 E 3
boE g .r( 3gz g a ?G 3% 22% 33% w W 8cE 9 , E6 s &
32 aJ3 aJ -$qJ z 3E 002 cnT2 0
SaG 0; -2 a- 3 8 iz 2-2 'E: g.: 2
$ 3 0% crl E g 7 aa 3a
m ZJ % aJ p2-s -9 a+ a.2 3 'd 8 a, .r( cn Em$ j;z 3 v) cv + a g 3
+ a 9
.I ha a -22 %Eo %
4 4 2cc adcn acd A$$ 522 z Eg % tb-JE w ai$: a,
gE$ ;Q g g 2 h
2i
s
000 000 0 0 000 000 R ooofl 0 0 0 000 000 0 0
In 000~ 0 0 0
amhl md-m 040 m
OOhW
-r(
I
+ aJ
ad 0 a 3
2 0 m cd
cd W aJ cd W
aJicr 00- om
" rl
4
d
1 v bo-+ r
-+
4
&
u2w
0 % CI a E
-!
3 r o+ oww E$: E g 3
: I
-4 3& 0 &am g 2
%3%
u4
cn a a maa <cnm
aJ aJk
22.9 M, .9 3
m7 mzz cn cn 5
rr e -3 kc:h aJcrl aJ aJ : wgw s-2 aJ 5aa 3 z 8 7 z! G2g.s 2 $ .5 23% $ 3
i?
zacd z z 7-25 3 2 .2 3 2
2
.r(
Kz bo
j cd -2 -2 " 8
4
AAA AAA A A A A A AAA
73 3
E
E
g 3SG 32 2 0 2
4 2 a .i? .d
k as v 4 z sa W cd i r;= 0
d aw L 0 c, 0
w
$5 .+ s s gg .+ a
2 255 $2 CI g 9 5 UNO
ZA hi c4+ mAhi
-N -N 3 0
b
W W -
CITY OF CARLSBAD
Policv No. 52
COUNCIL POLICY STATEMENT Date Issued July 28, 1992
!
General Subject: AMERICANS WITH Cancellation Date N/A
DISABILITIES ACT (ADA) Supersedes No. N/A
Specific Subject: GRIEVANCE PROCEDURE FOR ALLEGATIONS OF
NON-COMPLIANCE WITH ADA
Copies to: City Council, City Manager, City Attorney, Department and
Divisions Heads, Employee Bulletin Boards, Press, File
PURPOSE:
The Americans with Disabilities Act (ADA) Grievance Procedure is to describe the steps to follow if one files a grievance. A grievance for this purpose is an allegation of noncompliance with a provision of Titles I, I1 or V of ADA.
Pomx
The City of Carlsbad will make all reasonable accommodations for the disabled with regard to .employment, programs and facilities.
The City will attempt to resolve disputes or allegations of non-compliance with ADA informally. Where appropriate and permitted by law, dispute resolution may include fact finding, conciliation, facilitation, mediation or arbitration. The filing of this grievance does not preclude an informal
resolution.
PROCEDURE:
Grievances shall be processed in the following manner.
1. Within fifteen (15) calendar days after a grievant knew, or by
reasonable diligence should have known, of the condition upon which the grievance may be based, the grievant shall attempt to. resolve it by filing a grievance. Any grievance that has not been informally resolved may be filed verbally or in writing to the Assistant City Manager’s office. A written grievance may be by
personal letter or by the City’s Grievance Form.
I
w 8
CITY OF CARLSBAD
Policv No. 52
Effective Date
COUNCIL POLICY STATEMENT Date Issued
General Subject: AMERICANS WITH DISABILITIES ACT (ADA)
Cancellation Date N/A
Supersedes No. N/A
Specific Subject: GRIEVANCE PROCEDURE FOR ALLEGATIONS OF
NON-COMPLIANCE WITH ADA
~ ~~~~
Copies to: City Council, City Manager, City Attorney, Department and
Divisions Heads, Employee Bulletin Boards, Press, File
PROCEDURE (continued):
2. The grievance must contain the following information:
0 Name, address and phone number of the grievant
0 Specific identification of the provision(s) of ADA that the City
e Facts related to issue, such as witnesses, dates, acts, or
0 Specific request for remedy or resolution
may not be in compliance
locations
3. Upon receipt of the grievance, the City shall act within the following guidelines:
a) Within ten (10) working days from the date of receipt of the grievance the Assistant City Manager, or a designate, shall render a decision in writing. Such response shall include the Grievance Response Form and the written decision of Assistant City Manager as attachment to the Response Form,
b) Within ten (10) working days the grievant’s response to the decision shall be on the Response Form, indicating either agreement with or appeal of the Assistant City Manager’s decision.
c) Within ten (10) working days of receipt of the grievant’s appeal, the City Manager, or a designate, shall contact the grievant and/or the grievant‘s representative to schedule a mutually convenient meeting to review the appeal.
~
m m
CITY OF CARLSBAD
Policy No. 52
Effective Date
COUNCIL POLICY STATEMENT Date Issued
General Subject: AMERICANS WITH
DISABILITIES ACT (ADA)
Cancellation Date N/A
SuDersedes No. N/A
Specific Subject: GRIEVANCE PROCEDURE FOR ALLEGATIONS OF
NON-COMPLIANCE WITH ADA
Copies to: City Council, City Manager, City Attorney, Department and
Divisions Heads, Employee Bulletin Boards, Press, File
~~~ ~~ ~ ~ ~ ~~ ~ ~~~ ~
PROCEDURE (continued):
d) Within ten (10) working days after the scheduled meeting, the City Manager, or designate, shall render a decision in writing. Such response shall include the Response Form, the initial decision letter from the Assistant City Manager, and the written decision of the City Manager as a second attachment to the Response Form.
e) The decision of the City Manager is final. The grievant may accept the decision by indicating such on the Response Form and returning to the City Manager within ten (10) working days of the date of the final decision.
m e
CITYOFCARLSRAD 1200 Carlsbad Village Drive Carlsbad, CA 92008
Americans with Disabilities Act Grievance Form
Contact: Assistant City Manager
(61 9) 434-2820
Definition: A grievance is an allegation of noncompliance with a provision of any Title of the
Americans with Disabilities Act (ADA).
Policy: The City will attempt to resolve disputes or allegations of non-compliance
informally. Where appropriate and permitted by law, dispute resolution may
include factfinding,conciliation, facilitation, medication or arbitration. The
filing of this grievance does not preclude an informal resolution.
Instructions: Complete this form as best as you can. Submit either by mail or in person to the
City Manager at the address above. This grievance will be handled in accordance
with the City’s ADA grievance procedure. A copy of this procedure is available
upon request.
~~ ~~~ ~ ~~~~ ~ ~ ~~ ~~ ~~
Name: Phone:
Address:
1. Statement of Grievance (state the facts as you know it relating to your grievance,
including names, dates, locations, and actions if applicable) :
2. Resolution requested:
~~~ ~~~
~ ~~~~
3. If you are being represented by another person on this grievance, please give the name and
phone number of this person:
4. Signature: Date:
rn 0
CI"Y0FCARLSBAD 1200 Carlsbad Village Drive Carlsbad, CA 92008
Americans with Disabilities Act Grievance Response Form
1 ~ ~~ ~ ~ ~ ~~~~~ ~
In accordance with paragraph 3. of the City's procedure to respond to a grievance filed for non-compliance with any provision of Titles I, 11 or V of the Americans with Disabilities Act (ADA), this form is to be used for rendering a decision.
I I
INITIAL DECISION: Assistant City Manager
Date Grievance Received:
A written decision by the Assistant City Manager, or a designate, must be rendered within ten (10) working days of receipt of this grievance. Written decision is attached to this form and sent to grievant.
3
e
Signature of Decision Maker Date
Grievant's response to attached decision.
/ / I accept the attached decision by marking an "x" in the box to the left and with my signature below.
/ / I wish to appeal the attached decision by marking an "X" in the box to the left and with my signature below.
Signature of Grievant Date
NOTE: Request for Appeal must be submitted to the City Manager's office within ten (10) working days of the date of the Assistant City Manager's decision.
(See Reverse for City Manager's Decision)
P
a, 0
cc'iy OF a1-M
Aj-pericans with Disabilities Act Grievance Response Form €:&;.:e 2 .>
- FiBAL DECISION city mer
Date Request for Appeal Received:
The City Mmager, or designate, shall contact the grievant and/or the
git-;m.nt*s representative within ten (10) working days of receipt of appeal. The purpose is to arrmge a mutually convenient meeting to review the appeal.
D&? of Contact:
Dai~e of Meeting:
A written decjsion by the City Manage;', or a designate, IIIUS~ be rendered wkhin ten (10) working days of the date of the meeting $8 review the appeal. Written decis.ion is attached to this form and sent to grievant.
a
-L - Sigaature of Decision Maker Date
" "W. . *v"- " ..-a :"i
-. .I I
Grievant's response to final decie: ,,,on.
1- %- / I accept the attached, decision by marking an "X* in the b;>x to the left and wi+h my signature below.
Signature of Grievant - - Date
-,X"- 7x-5 . _. - Bu: ".i.
- .. - -
.