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| Step 1 Grievance Form |
Date: __________________________________________________ 20________
To: (Employer) From:
___________________________________ Name: ______________________________________
___________________________________ Address: ____________________________________
___________________________________ City/Town: ___________________________________
___________________________________ Province, Postal Code: _________________________
___________________________________ Email Address: ________________________________
Date of Grievance: ________________________________________
Cause of Grievance:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Redress sought:
__________________________________________________________________________________
__________________________________________________________________________________
Signature: ____________________________________________________
Seniority Date: _________________________________________________
To: (Employer) From:
___________________________________ Name: ______________________________________
___________________________________ Address: ____________________________________
___________________________________ City/Town: ___________________________________
___________________________________ Province, Postal Code: _________________________
___________________________________ Email Address: ________________________________
Date of Grievance: ________________________________________
Cause of Grievance:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Redress sought:
__________________________________________________________________________________
__________________________________________________________________________________
Signature: ____________________________________________________
Seniority Date: _________________________________________________
| Deliver this form to the supervisor responsible for Step 1 Grievance handling. Deliver a copy to your Local Chairperson, or fax the CAW Edmonton Regional Office - Council 4000 at: (780) 489-8203 |
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