Afscme Grievance Form PDF Details

If you are a member of the American Federation of State, County and Municipal Employees (AFSCME) and have a grievance, you will need to complete and submit the AFSCME Grievance Form. This form must be filed within 30 days of the event or action that you are protesting. The form can be submitted online or by mail, and must include specific information about your grievance. Failure to file a grievance within the required timeframe may result in your claim being denied. Be sure to review the instructions on the form carefully before submitting it.

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

You can fill out afscme form effortlessly using our PDFinity® online PDF tool. The editor is continually updated by us, acquiring useful features and becoming better. To get the ball rolling, consider these basic steps:

Step 1: Press the "Get Form" button in the top section of this page to access our editor.

Step 2: Once you start the online editor, you'll see the document prepared to be completed. In addition to filling in various fields, you may also do several other things with the form, that is adding your own textual content, editing the initial textual content, adding graphics, putting your signature on the form, and more.

Pay attention when completing this document. Make certain all mandatory fields are done properly.

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

Step 3: Prior to getting to the next stage, make certain that all blank fields have been filled in the correct way. When you confirm that it's correct, click on “Done." Sign up with us today and instantly get access to afscme form, prepared for download. All adjustments you make are saved , helping you to customize the form at a later stage if necessary. FormsPal is invested in the confidentiality of our users; we always make sure that all information used in our system continues to be confidential.