Afscme Grievance Form PDF Details

The American Federation of State, County, and Municipal Employees (AFSCME) grievance form is the official channel through which union members formally report complaints about their employment conditions. It covers alleged violations of contract agreements, workplace policies, or applicable labor laws.

To complete the form, the employee must provide their full name, department, job classification, work location, and immediate supervisor. The grievance section requires a description of what happened, which contract provision was violated, and the specific remedy being requested. Each form must be completed in triplicate: one copy for the employee, one for the local union grievance file, and one for management. An AFSCME local representative must be designated to act on the employee's behalf throughout the grievance procedure.

If you work under a different union, FormsPal also provides the 1199 SEIU grievance form, the NALC grievance form, the general grievance form, and the grievance report form.

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

Use our PDFinity® online PDF editor to complete the AFSCME grievance form in minutes. Click "Get Form" at the top of this page, fill in each section, and download the finished document at no cost.

1. Fill in your personal information in the first section, including your name, department, job classification, work location, and immediate supervisor. Gather all required details before starting so nothing is missed.

Completing section 1 of the AFSCME grievance form

2. Complete the statement of grievance fields: the adjustment required, your authorized AFSCME local representative, the date, your signature, and the union representative's signature. Include the date presented to management and the disposition of the grievance.

Completing section 2 of the AFSCME grievance form

3. Complete the distribution section. The original goes to management, one copy goes to the local union grievance file, and one copy goes to the American Federation of State, County, and Municipal Employees for their records.

Completing the distribution section of the AFSCME grievance form

4. In the fact sheet section, provide your job classification, date of hire, and work location. Describe what happened, who was involved, when and where it occurred, and why this constitutes a grievance under your union contract. These fields are the most important part of the form.

Completing the fact sheet section of the AFSCME grievance form

5. Enter the required adjustment in the final section and add any additional comments on the reverse side. Provide your home address and the steward's information, then sign and date the form. Review every field before clicking "Done" to finalize your download.

Completing the final section of the AFSCME grievance form

All edits are saved automatically so you can return to the form at any time. FormsPal keeps all submitted information confidential. For other union grievance documents, see the general grievance form and the TDCJ grievance form.

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