• For Union Use Only

  • This should fill in automatically if you clicked the link in the message you received after submitting the original Grievance form. If you don't see a number in this field, put in the number you were instructed to copy from the message after submitting the original Grievance form.
  • MM slash DD slash YYYY
  • DeptShiftContact Phone
  • Others Involved

  • If there are more than one person to list here, click the plus button to add more.
    NameDeptJob Title 
  • If there are more than one person to list here, click the plus button to add more.
    NameDeptJob Title 
  • NameDeptJob Title
  • Greivance Information

  • This field is for validation purposes and should be left unchanged.
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