Grievance Worksheet - Local 300 National Postal Mail Handlers Union
Grievance Worksheet - Local 300 National Postal Mail Handlers Union
Grievance Worksheet - Local 300 National Postal Mail Handlers Union
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"An Injury To One Is An Injury To All"<br />
GRIEVANCE WORKSHEET<br />
TO BE COMPLETED PRIOR TO STEP 1 MEETING<br />
1<br />
2<br />
3<br />
4<br />
5<br />
6<br />
7<br />
8<br />
<strong>National</strong> <strong>Postal</strong> <strong>Mail</strong> <strong>Handlers</strong> <strong>Union</strong>, <strong>Local</strong> No. <strong>300</strong><br />
111 John Street, Suite 710, New York, NY 10038<br />
BRANCH GRIEV NO. ___________________________________<br />
GRIEVANT=S NAME (OR CLASS) SOCIAL SECURITY NO. / EID NO.<br />
HOME ADDRESS CITY STATE ZIP<br />
JOB CLASSIFICATION CRAFT SENIORITY DATE<br />
STEP 1 MEETING: HELD ON (DATE/TIME)<br />
ATTACHMENTS (Check)<br />
HOME PHONE NO.<br />
SERVICE SENIORITY DATE DUTY HOURS<br />
INSTALLATION CITY STATE VETERAN<br />
YES NO<br />
OFF DAYS: SA SU M T W TH F<br />
Fixed check applicable<br />
PAST DISCIPLINARY RECORD (IF RELEVANT)<br />
VIOLATION: NATIONAL (ART. & SECT.) LOCAL (ART. & SECT.) OTHER (EXPLAIN)<br />
FACTS OF GRIEVANCE DATE(S) TIME LOCATION<br />
WHAT HAPPENED:<br />
CORRECTIVE ACTION REQUESTED:<br />
SUSTAINED<br />
DENIED OTHER (EXPLAIN)<br />
LEVEL<br />
STEP<br />
GRIEVANT'S SIGNATURE DATE<br />
FILL OUT BELOW IMMEDIATELY AFTER STEP 1 MEETING<br />
IF DENIED, REASON GIVEN<br />
WITNESS(ES)<br />
STATEMENT(S)<br />
PHONE NO. (212) 431-0040 FAX NO. (212) 941-6499<br />
STEWARD ___________________________________________<br />
DATE OF APPEAL _____________________________________<br />
REG.<br />
Unassign<br />
Reg.<br />
Reserve<br />
Reg.<br />
PTR<br />
PTF<br />
SUPERVISOR=S (NAME & TITLE)<br />
DATE OF DECISION<br />
NOTES OF<br />
STEP 1 MEETING<br />
CELL PHONE NO.<br />
EMAIL<br />
ADDITIONAL SHEET ATTACHED<br />
OTHER<br />
(LIST)_____________________________
Step 1 GRIEVANCE WORKSHEET DATE<br />
GRIEVANT’S NAME (OR CLASS)<br />
FACTS AND UNION CONTENTIONS (Continued from Page 1):<br />
BRANCH GRIEV NO.<br />
Pg. 2