Grievance Worksheet - Local 300 National Postal Mail Handlers Union

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

Step 1 GRIEVANCE WORKSHEET DATE
GRIEVANT’S NAME (OR CLASS)
FACTS AND UNION CONTENTIONS (Continued from Page 1):
BRANCH GRIEV NO.
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