EXHIBIT 4

 

SUSPENSION

 

Date

 

 

 

Name

Address

 

Dear:

 

Please be advised that you are hereby suspended from your position as  (classification) in the Department of (department) for a period of (number) days effective (day/date)                     through            (date)         based on the following: 

 

         State facts of incident                                                                              

                                                                                                                                   

                                                                                                                                   

 

For the above incident(s) you are in violation of Civil Service Rule (rule no. and name):

 

         “Quote text of Civil Service Rule”                                                                       

                                                                                                                                   

                                                                                                                                     

 

And/or, you are in violation of AFSCME labor agreement (article no. and name).

 

         “Quote labor agreement article”                                                              

                                                                                                                                   

                                                                                                                                   

 

If you consider this action to be unreasonable, you may appeal in writing to the Civil Service Board, Miami Riverside Center, 444 S.W. 2^nd Avenue, Suite 724, Miami, Florida 33130 for a hearing within fifteen (15) days from receipt of this suspension, or you may elect to initiate the grievance procedure as outlined in Article 14 of the current AFSCME labor agreement.

 

Sincerely,

 

 

 

Director

 

RECEIPT OF THE ABOVE AND FOREGOING LETTER OF SUSPENSION IS HEREBY ACKNOWLEDGED THIS ___________DAY OF ________________, 20___.

 

______________________________                                    ______________________________

     (Employee’s Signature)                                                    (Witness’s Signature)

 

c:         Civil Service Board

            Department of Employee Relations

            Law Department

            Labor Relations

            AFSCME President