(Circuit Manager or Regional Designee) Follow steps one through three in the previous instructions for accessing and viewing the grievance database. If entering data for Level One, click on “Create New Service Delivery Grievance”. Enter the following data into the required fields from the paper copy of the Service Delivery Grievance Form: Use the tab key to advance to each field. Date Grievance Initially Filed: Enter the date (01/01/2001) that the County Office received the initial grievance form, usually indicated by a date stamp. County: Enter the county in which the grievance was filed by either typing in the name of the county or clicking on the arrow to the right of the field, selecting the county, and clicking on “okay”. Name: Enter the first and last name of the person filing the grievance. DCN: Enter the DCN of the person filing the grievance. SSN: Enter the SSN of the person filing the grievance. Grievant Profile: Click on the arrow to the right of the field and then click on the profile type that best describes the person who is filing the grievance. Then click “okay”. If “other” is selected, a hidden field will pop up requesting an explanation for that choice. Enter what is meant by “other” in this field. Category of Grievance Issue: Click on the arrow next the field and select the category/categories of grievance that best describes the issue/issues being grieved. More than one category may be selected if there is more than one grievance issue. If “other” is selected, a hidden field will pop up requesting an explanation for that choice. Enter what is meant by “other” in this field. Type of Services Received: Click on the box next to the service/services that are being received by the person filing the grievance. More than one box may be selected if more than one service is being received. Level: Click on the arrow next to the field and then click on “1”. This should put a check mark beside the “1”. Click on “okay”. Date of Level One Determination: Enter the date that the Level One determination was completed and signed by the Circuit Manager or Supervisor III by typing in the date (01/01/0001) or clicking on the calendar option in the right of the field box and then clicking on the appropriate date.
Click on “Save and Close” which is located at the top of the form. Initial grievance and Level One information has now been entered and saved in the database.