Document Type: Exhibit
Number: 5.05b
Effective: 05-01-06
Revised: 08-18-14
Legal References:
NOTICE OF APPEAL AND REQUEST FOR POST-TERMINATION HEARING
TO THE EMPLOYEE: Please note that your termination is final unless within five (5) work days after receiving the termination letter you provide a written appeal and request for a post-termination hearing to Human Resources on this form. Your written appeal must be received in Human Resources within this five (5) work day time period. Failure to comply with this time requirement shall constitute a waiver of any rights under the City of Boise’s termination procedure.
By submitting this form, you are appealing your termination and requesting a post-termination hearing. The post-termination hearing process is explained in the City of Boise’s Corrective Action Policy and Regulation. The policy and regulation are located on the City’s Inside webpage or you can contact Human Resources at 208-384-3850 for a copy.
Please indicate whether you ______ WILL or ______ WILL NOT be represented by legal counsel at the hearing before the hearing officer.
Name of Attorney for Employee
_________________________
Telephone Number of Attorney
_________________________
Address of Attorney
_________________________
Fax Number of Attorney
_________________________
City, State, and Zip Code
_________________________
E-mail Address of Attorney
_________________________
Employee’s Signature Date
_________________________
Employee Printed Name
_________________________
Employee’s Address
_________________________
Employee’s Telephone Number
_________________________
City, State, and Zip Code
_________________________
Employee’s Fax Number
_________________________
Employee’s E-mail Address
_________________________
For Internal Use Only
Date Received in Human Resources: _________________________
Received by: _________________________