IBEW LOCAL UNION 365
 

STATEMENT OF GRIEVANCE - STEP NO. 1
 

Employee or Group Involved_____________________________________  Dept.__________________

Contract Reference:  Art.__________,  Sect.___________, Pg._______,  Other____________________

Date action complained of occurred or became known___________________

Date discussed with Supervisor_____________     Supervisor's Name____________________________

Date Supervisor answered__________________

 
   
 
 

NATURE OF GRIEVANCE
 

 
 
 
 
   
 
 
 

REPLY TO GRIEVANCE
 

 
 
 
 
   
 
   
 
 

RECOMMENDATION OF STEWARD
 

 
 
 
 
     
 
   
 
 

      Steward's Signature __________________________

                                                                                        Date  __________________________


Steward:  Make a copy of this grievance for your future use.
 

 


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