Grievance Report Form PDF Details

If you have a grievance against your employer, it is important to document the issue in writing. A grievance report form can help you do this. The form will provide a space to state the nature of the grievance, as well as the dates and times of any incidents that led to the complaint. It is also important to include contact information for yourself and any witnesses. By completing a grievance report form, you are putting your employer on notice of the issue and providing them with documentation they may need should the situation require further action.

QuestionAnswer
Form NameGrievance Report Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesunited grievance report create, usw grievance report, form usw grievance form, united usw 122 online

Form Preview Example

 

 

FILL OUT IN TRIPLICATE

 

GRIEVANCE REPORT

USW LOCAL UNION NO. ___________________

GRIEVANCE NO. __________

Location

__________________________

Date ________________

 

__________________________

 

Employee Name

Identification No.

Department

Job Title

Use the space below to write in other important Grievance information

__________________________________________________________________

__________________________________________________________________

___________________________________________________________

Nature of Grievance

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

Settlement requested in Grievance ____________________________________ _

__________________________________________________________________

__________________________________________________________________

Plus the Union requests that the grievant(s) be made whole in every respect, including interest on any monies owed.

Agreement Violation __________________________________________ _____

__________________________________________________________________

__________________________________________________________________

Signature of Aggrieved:

Signature of Union Representative:

_____________________________

_________________________________

_____________________________

_________________________________

_____________________________

_________________________________

Form USW 122 – Revised 2010

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This form will require particular information to be typed in, hence be sure to take whatever time to enter what's requested:

1. The 122 grievance form needs particular information to be entered. Be sure that the next fields are filled out:

How you can fill out united steelworkers usw grievance step 1

2. After the previous section is done, you need to put in the needed details in Nature of Grievance, Settlement requested in Grievance, and Plus the Union requests that the so you can proceed further.

Nature of Grievance, Plus the Union requests that the, and Settlement requested in Grievance in united steelworkers usw grievance

3. In this step, look at Signature of Aggrieved, Signature of Union Representative, and Form USW Revised. All of these should be filled out with greatest accuracy.

united steelworkers usw grievance writing process clarified (stage 3)

In terms of Signature of Union Representative and Signature of Aggrieved, ensure that you review things here. These are considered the most important fields in this page.

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