EXHIBIT B
NOTICE OF APPEAL: LEVEL TWO
This form must be filled out completely by an employee appealing a level one decision to the Superintendent or designee in
accordance with the District’s policies DGBA and DGBA (LOCAL) or any exceptions outlined therein.
1. Name: _________________________________________
2. Position/Campus: _________________________________
3. To whom did you last appeal: _________________________
Date: ________________
4. If you will be represented in pursuing your complaint, please identify that individual or organization:
Name: __________________________________
Address: ________________________________
Telephone: _______________________________
5. Attach copy of original complaint.
6. Attach copy of complaint decision being appealed.
Signature: ______________________ Date Submitted: ______________