Date: _____________ ____________________________________________________ Signature of Person Appealing ___________________________will schedule a time to meet with you within fourteen days from the time this Appeal is received by the employer. Policy Submission Checklist Is a signed certification that the submission complies with all applicable statutes and regulations included? This can be part of the submission letter. Is a description of the method used by the employer in consulting with the employees as to the development of this policy? This can be part of the submission letter. Is there a description of the method used by the employer to notify the employees of the submission of the plan to the Department and for the employees to comment to the Department, including: This can be part of the submission letter. Description of method used to notify employees of the submission How and where employees may access the policy.
Date: _____________ ____________________________________________________ Signature of Person Appealing ___________________________will schedule a time to meet with you within fourteen days from the time this Appeal is received by the employer. Policy Submission Checklist Is a signed certification that the submission complies with all applicable statutes and regulations included? This can be part of the submission letter. Is a description of the method used by the employer in consulting with the employees as to the development of this policy? This can be part of the submission letter. Is there a description of the method used by the employer to notify the employees of the submission of the plan to the Department and for the employees to comment to the Department, including: This can be part of the submission letter. Description of method used to notify employees of the submission How and where employees may access the policy.
Drug%20Testing-MODEL%20Employee%20POLICY_Probable%20Cause_More%20than%2020_POCT.docx