Grievance Form

Please make sure you are working with your Regional Steward Director prior to filing out this form.

Date Filed

Date of Contract Violation

Name of Grievant

Agency

Job Classification

Work City

Local

Step number

Name of Steward

Steward's Phone Number

Steward's Email Address

Contract Violation(s)

Any and all other applicable articles.

Description of Grievance/Violation

Remedy Sought

In all ways make the grievant whole.

Steward Signature

Sign above