GRIEVANCE FILING FORM
Name
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First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address:
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WHO DO YOU WORK FOR?
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WHAT DEPARTMENT/CLASSIFICATION ARE YOU?
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IF ANY, LIST EVERYONE WHO WAS INVOLVED.
IF ANY, WHO FROM MANAGEMENT IS INVOLVED?
HAVE YOU ALREADY DISCUSSED THIS WITH MANAGEMENT?
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YES
NO
IF YES, WHO DID YOU SPEAK WITH?
WHAT HAPPENED? (IF THERE WAS AN INCIDENT, WHEN AND WHERE DID THIS HAPPEN, AND WHO WAS AROUND THAT WAS A WITNESS)
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WHAT WAS THE DATE THE ISSUE OCCURRED?
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-
Month
-
Day
Year
Date
WHAT ELSE IS IMPORTANT TO THIS CASE? (GRIEVANT'S RECORD, OTHER HISTORY OF THE PROBLEM, QUESTIONS OF JUST CAUSE, MANAGEMENT'S POSITION, ETC)
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WHY IS THIS A GRIEVANCE? (CONTRACT VIOLATION, PAST PRACTICE, UNFAIR TREATMENT, COMPANY RULES, LAWS ETC?)
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WHAT DO WE WANT THE COMPANY TO DO TO MAKE THIS RIGHT?
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WHO IS YOUR SHOP STEWARD?
TODAY'S DATE
*
-
Month
-
Day
Year
Date
Submit
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