Board Of Aldermen - Agenda - 12/8/2020 - P211
Document Date
Meeting Description
Document Type
Meeting Date
Page Number
211
APPENDIX C
GRIEVANCE FORM
LOCAL 2232 UNITED AUTO WORKERS
GRIEVANCE NUMBER: DATEOF FILING:
(MONTH DAY YEAR-—INCIDENT#)
GRIEVANCE _ STEPI STEP 2 STEP 3 OTHER
EMPLOYER RESPONSE DUE: Received by:
(Date) (Employer Representative)
TO:
(Name, Title of EMPLOYER Representative)
OF:
(Employer)
FROM:
(Name, Title of Union Representative)
GRIEVANT(S):
DATEOF OCCURRENCE:
VIOLATION: The employer violated the collective bargaining agreement including, but not
limited to Article(s)
STATEMENT OF GRIEVANCE:
REMEDY REQUESTED: The employer should make whole the grievant(s) in every way, including:
SIGNED:
(Union Representative) (Grievant(s) — optional)
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