AFSCME Local 566

GRIEVANCE WAIVER

The undersigned grievant (hereafter "Grievant"),___________________, hereby releases Local 566 of Council #4 AFSCME and Council #4 AFSCME from any obligations to represent Grievant in a grievance proceeding before the Hartford Board of Education.

The Grievant has voluntarily decided to retain and be represented  by ________________________ in the above matter.

The Grievant understands that the Grievant is fully responsible for all costs and attorney's fees including any appeals taken by the Grievant's attorney, and that Local 566 of Council #4 AFSCME and Council #4 AFSCME are hereby released from any obligation to pay for costs and attorney's fees or to institute any appeals.

The attorney selected by the Grievant will be responsible for conducting, preparing, arguing and briefing the case and Local 566 of Council #4 AFSCME and Council #4 AFSCME are released from any duty of representation in the past, present, or in the future, in regard to the grievance.

The Grievant is satisfied with the representation received from Local 566 of Council #4 AFSCME and Council #4 AFSCME, and releases the organizations from any and all claims that the Grievant may have against them.

Local 566 of Council #4 AFSCME and Council #4 AFSCME retains the right to have, in attendance at any hearings on this matter, a representative, who will have full authority to reject or approve any settlement agreements that might infringe upon contractual rights in the collective bargaining agreement or such other rights as the Union may have.

Furthermore, by allowing private council, Local 566 of Council #4 AFSCME and Council #4 AFSCME do not waive their right to determine whether or not this grievance is appealed to arbitration.

The Grievant has read and understands this document and has signed it voluntarily.

Dated at Hartford, Connecticut, this ___________day of __________, 20__.