Appendix D

NOTICE OF ARBITRATION

This notice was filed with the Office of Human Resource Services (as authenticated by receipt, postmark, or date recorded on fax) on ___________ by (check one):

Personal delivery _____

U. S. Mail _____

Fax _____

The United Faculty of Florida hereby gives notice of its intent to proceed to arbitration in connection with the decision of the Trustees dated _____________________ and received by the UFF Grievance Representative or the Grievant (if not represented by UFF) on ________________________ in this grievance of:

NAME:

BOT FILE NO:

The following statement of issue(s) before the Arbitrator is proposed:

__________________________________ _________________________

Signature of UFF President or Designee Date

I hereby authorize UFF to proceed to arbitration with my grievance. I also authorize UFF and the Board of Trustees or its representatives to use, during the arbitration proceedings, copies of any materials in my evaluation file pertinent to this grievance and to furnish copies of the same to the arbitrator.

__________________________________ _________________________

Signature of Grievant Date

UNIVERSITY OF FLORIDA

Board of Trustees–United Faculty of Florida