621—11.3 (19A,20) Content of the appeal.
	   11.3(1) The appeal shall contain the following:
	      1. 	  Name and social security number of the appealing employee;
	      2. 	  Name of agency/department by which the appealing employee is/was employed;
	      3. 	  A request for hearing, if desired;
	      4. 	  A statement of the reasons supporting the appealing employee’s dissatisfaction with the director’s response;
	      5. 	  A statement of the desired relief;
	      6. 	  The name of the appealing employee’s representative, if any;
	      7. 	  Copies of all relevant documents;
	      8. 	  Signature of the appealing employee;
	      9. 	  Copy of the director’s response to the employee;
	      10. 	  A statement of the Iowa Code chapter 19A provision and department of personnel rule(s) which has allegedly been violated. (Note: This statement is required only for appeals of grievance decisions, not appeals of disciplinary actions.)
	   11.3(2) Completion of the State Employee Grievance and Disciplinary Action Appeal Form shall constitute compliance with all subrule 11.3(1) requirements.