Afscme Grievance Form PDF Details

The American Federation of State, County, and Municipal Employees (AFSCME) grievance form is a critical document designed to facilitate the structured submission of grievances by union members. At its core, this form serves as a formal channel through which employees can voice complaints or concerns related to their employment conditions, highlighting any perceived violations of their rights as established by contract agreements, workplace policies, or applicable laws. Its detailed format requires the aggrieved employee to provide a comprehensive account of the grievance, including the nature of the complaint, the specific violation, and the desired adjustment or remedy. Furthermore, the form mandates the inclusion of pertinent details such as the employee's name, department, classification, work location, and immediate supervisor, thereby ensuring a clear and organized presentation of the case. The process is characterized by its emphasis on representation, as it allows for, and indeed necessitates, the involvement of an AFSCME local representative to act on behalf of the employee throughout the grievance procedure. The procedural aspect is accentuated by the requirement that the grievance form, alongside a fact sheet for internal union use, be filled out in triplicate with copies distributed between the employee, the union’s local grievance file, and management, thereby ensuring transparency and traceability. This document underscores the union's commitment to protecting its members' rights and provides a structured mechanism for addressing and resolving workplace disputes.

QuestionAnswer
Form NameAfscme Grievance Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameshow to official grievance form, grievance form, afscme, official grievance form

Form Preview Example

 

 

 

 

 

 

 

 

 

AFSCME LOCAL

 

 

 

 

 

 

 

 

 

 

 

 

STEP

 

 

 

 

 

 

 

OFFICIA L GRIEV A NCE FORM

NAME OF EMPLOYEE

 

 

 

 

DEPARTMENT

 

 

CLASSIFICATION

 

 

 

 

 

 

 

 

 

 

WORK LOCATION

 

 

IMMEDIATE SUPERVISOR

 

 

TITLE

 

 

 

 

 

 

 

 

 

STATEMENT OF GRIEVANCE:

 

 

 

 

 

 

 

List applicable violation:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adjustment required:

I authorize the A.F.S.C.M.E. Local

 

 

as my representative to act for me in the disposi-

tion of this grievance

 

 

 

 

 

Date

 

 

 

Signature of Employee

 

 

 

 

Signature of Union Representative

 

 

 

 

Title

 

Date Presented to Management Representative

 

 

 

 

 

 

Signature

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

Disposition

of Grievance:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

THIS STATEMENT OF GRIEVANCE IS TO BE MADE OUT IN TRIPLICATE. ALL THREE ARE TO BE SIGNED BY THE EMPLOYEE AND/OR THE AFSCME REPRESENTATIVE HANDLING THE CASE.

ORIGINAL TO

COPY

COPY: LOCAL UNION GRIEVANCE FILE

NOTE: ONE COPY OF THIS GRIEVANCE AND ITS DISPOSITION TO BE KEPT IN GRIEVANCE FILE OF LOCAL UNION.

THE AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES

F 2 9

GRIEVANCE FACT SHEET

This form is to be used by the steward to aid in investigating a grievance. The FACT SHEET outlines the information that will be necessary to develop a strong case. Use additional pages to document all the details.

DO NOT TURN THIS FORM INTO MANAGEMENT. THIS INFORMATION IS FOR THE UNION'S USE ONLY.

GRIEVANT_______________________________DEPARTMENT___________________________________

CLASSIFICATION_________________________DATE OF HIRE___________________________________

DATE OF CLASSIFICATION_________________WORK LOCATION________________________________

What Happened? Also describe incidents which gave rise to the grievance.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

Who was involved? Give names and titles (include witnesses)______________________________________

________________________________________________________________________________________

When did it occur? Give day, time, date(s)______________________________________________________

_________________________________________________________________________________________

Where did it occur? Specific locations__________________________________________________________

_________________________________________________________________________________________

Why is this a grievance? What is management violating: contract, rules and regulations, unfair treatment, existing policy, past practice, local, state, federal laws, etc.

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

What adjustment is required? What must management do to correct the problem?

_________________________________________________________________________________________

_________________________________________________________________________________________

Additional comments. Use reverse side if needed________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

GRIEVANT'S SIGNATURE__________________________ ________DATE____________________________

STEWARD__________________________________DATE____________________________

GRIEVANT'S HOME ADDRESS_______________________________________________________________

NOTE: A COPY OF THIS FORM TO BE COMPLETED BY STEWARD OR OFFICER FILING GRIEVANCE AND TO BE TURNED IN TO LOCAL GRIEVANCE FILE ALONG WITH COPY OF GRIEVANCE AND DISPOSITION.

THE AMERICAN FEDERATION OF STATE, COUNTY AND MUNICIPAL EMPLOYEES

F 29A

How to Edit Afscme Grievance Form Online for Free

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1. Complete the afscme form with a number of major fields. Collect all of the required information and make certain absolutely nothing is omitted!

Completing segment 1 of afscme grievience search

2. Given that the previous segment is complete, you have to include the necessary particulars in Adjustment required, I authorize the AFSCME Local tion, as my representative to act for me, Date, Signature of Employee, Signature of Union Representative, Date Presented to Management, Signature, Disposition of Grievance, Title, Title, and THIS STATEMENT OF GRIEVANCE IS TO so you can move forward further.

Stage no. 2 for submitting afscme grievience search

3. Completing THIS STATEMENT OF GRIEVANCE IS TO, ORIGINAL TO, COPY, COPY LOCAL UNION GRIEVANCE FILE, NOTE ONE COPY OF THIS GRIEVANCE, FILE OF LOCAL UNION, and THE AMERICAN FEDERATION OF STATE is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

NOTE ONE COPY OF THIS GRIEVANCE, COPY LOCAL UNION GRIEVANCE FILE, and FILE OF LOCAL UNION of afscme grievience search

4. Completing This form is to be used by the, CLASSIFICATIONDATE OF HIRE, DATE OF CLASSIFICATIONWORK LOCATION, What Happened Also describe, Who was involved Give names and, When did it occur Give day time, Where did it occur Specific, and Why is this a grievance What is is vital in this fourth form section - make sure to spend some time and fill out each and every empty field!

Filling out section 4 in afscme grievience search

Regarding What Happened Also describe and Why is this a grievance What is, ensure you double-check them in this current part. Both these are surely the most important ones in the document.

5. This very last step to finish this form is crucial. You need to fill in the appropriate form fields, which includes What adjustment is required What, Additional comments Use reverse, GRIEVANTS SIGNATURE DATE, STEWARDDATE, GRIEVANTS HOME ADDRESS, NOTE A COPY OF THIS FORM TO BE, THE AMERICAN FEDERATION OF STATE, and F A, before submitting. If not, it could result in an incomplete and possibly unacceptable document!

Step no. 5 for completing afscme grievience search

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