Member Grievance Report

Grievant’s Email:

Grievant’s Phone:

Local #:

Steward Name:

Steward Phone Number:

Status: --None--NewIn ProgressOn HoldEscalatedClosed

Group Grievance (Class Action):

Description:

Priority: --None--HighMediumLow

Step: --None--Investigatory12345ArbitrationCircuit CourtDPSST HearingUC Unit ClarificationULPOther

Date of Infraction:

Grievance File Date:

Contractual Violation Identified:--None--DisciplineDischargeLayoff IssuesDisability IssuesLeaveHiring, Transfer & PromotionWages & HoursUnion & ManagementRightsStrikes & LockoutsHealth Care BenefitsVacationsSubcontracting and OutsourcingBullying and hostile workplaceHarassment and discriminationPerformance managementCrisis counseling

Violation - Article #: 1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465

Remedy Requested:

Worksite Location:

Supervisor:

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