About this Form
Form number: 430-42
Audience: MCPS Staff
Last revised: July 2017
INSTRUCTIONS: Please print or type. For additional information, definitions, procedures, rights of employee, and timelines for this administrative complaint process, see MCPS Regulation GKA-RA, Administrative Complaint. Contact the Office of Employee Engagement and Labor Relations at 240-314-4899, to obtain the Register Number.
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