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What is the name of your employer?
What is the location of your work site?
Please describe the type of appeal or matter you believe belongs before the SPB?
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Adverse Action
Rejection During Probationary Period
Hiring Authority has Constructively Terminated an Individual due to a Medical Condition
Termination, Demotion, or Transfer based upon a medical condition
Termination, Demotion, or Transfer for Non-Punitive Reasons (License Registration or Revocation)
Termination of Appointment to Career Executive Assignment
Termination or Automatic Resignation of Permanent Intermittent Employees
Termination of Limited Examination and Appointment Program (LEAP) Appointment
Dismissal, demotion, or suspension for cause taken by the California State University (CSU)
Errors Committed by the Hiring or Testing Authority in Conducting an Examination
Denial of Entry into Examination for Failure to Meet Minimum Qualifications
Determination to Disallow Dismissed Civil Service Employee from taking Civil Service Examination
Withhold from List Certification after Examination for Failure to Meet Minimum Qualifications (may include claim of out-of-class experience) Determination to Void Civil Service Appointment
Disqualification due to Pre-Employment Medical or Psychological Examination
Disqualification due to Failure of Pre-Employment Drug Test
Complaint of Discrimination based upon Mental or Physical Disability or Medical Condition including Denial of Reasonable Accommodation
Complaint of Harassment based upon Mental or Physical Disability or Medical Condition
Complaint of Retaliation for Exercising One’s Rights in Connection to Mental or Physical Disability or Medical Condition
Complaint of Retaliation for Protected Disclosure (Whistleblower Retaliation Complaint)
Complaint that a State Agency is violating the Civil Service Act (Merit Issue Complaint)
Request to File Charges against a State Employee
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Have you already filed an appeal or request with the SPB?
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What date was your matter filed?
What date was your matter was filed?
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Pleas select a date:
Are there any deadlines to file the appeal?
Are there any deadlines to file the appeal?
Please select a date if applicable
Do you have any pending deadlines or hearings already scheduled with the SPB?
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Please provide a copy of the notice of the SPB hearing dates or deadlines.
What is the effective date of the action you wish to appeal?
What is the effective date of the action your wish to appeal?
Please select a date.
Please provide a copy of the notice you received from your employer, that outlines the action being taken.
Are you presently represented by a union or legal counsel for your SPB matter?
Yes
No
Please identify the union/attorney and explain why you are seeking new representation.
Have you consulted with any other attorneys prior to contacting our office?
Yes
No
Please explain why you elected not to retain them, or they declined to represent you (if you know)
Please acknowledge that you understand that GRT does not do SPB cases on a contingency fee basis.
By seeking a consultation with our firm, you further understand you will be required to pay an hourly fee for our representation should we agree to handle your SPB matter.
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