AS - Jobs: Post & Bid - Dispute Resolution Form (New - 12/06)

STATE OF CALIFORNIA

California Environmental Protection Agency

Air Resources Board

ASD/HRB 269 (New – 12/06)

POST AND BID
DISPUTE RESOLUTION

NOTE: Bid Dispute Resolution forms must be received by 5:00 p.m. within five workdays after receipt of the bid award notice. Bid Dispute Resolution forms may be submitted via mail, fax or e-mail as detailed below:

To: Air Resources Board
Post and Bid Dispute Resolution Committee
Attn: Labor Relations Officer
1001 I Street, 20th Floor
Sacramento, CA 95814 / Fax: (916) 323-9074 / Email:

Identify Position for which you are disputing the Post and Bid award:

RPA #: / Position #: / Classification:
Division: / Branch:
Geographic Location: Sacramento El Monte

I dispute the Post and Bid Award for the position noted above for the following reasons (Attach additional sheet if necessary):

Signature: / Date:
Print Name: / Telephone #:
Division: / Branch:

DECISION OF JOINT RESOLUTION COMMITTEE: Granted Denied (See attached):

Air Resources Board / Date / SEIU, Local 1000 Representative / Date
Air Resources Board / Date / SEIU, Local 1000 Representative / Date