C I T Y O F A T L A N T A

Kasim Reed	226 Peachtree Street, SW	Atlanta Police Department
Mayor	Atlanta, Georgia 30303	George N. Turner
(404) 546-6900	Chief of Police

EXTENSION OF TIME

FOR GRIEVANCE PROCEDURE

Pursuant to Section 114-524, Extension of time in grievance process, of the Labor Relations Code, the parties agree to extend the prescribed time period to allow for further investigation, findings and decision in the grievance filed by:

______________________________________________________on _________________.

Signature of Grievant: ________________________________________________________

Date: _____________

By: ________________________________

Signature of Supervisor or Issuing Official

ATTACH TO GRIEVANCE FORM AND RETAIN A COPY FOR YOUR RECORDS

Extension of Time

Grievance

APD Form 236

vlivsey

2011-01-06