APPENDIX “A”

                                                Grievance - Part 1

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

Name:

 

 

 

IFO  Grievance Representative

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

University:

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

Department:

 

 

 

 

 

 

 

 

 

 

 

Sections of Agreement  Claimed Violated

 

1.

 

2.

 

3.

 

 

Nature and Facts of Grievance (Description of the acts, decision or omission which gave rise to the grievance) Appropriate documents attached.

 

 

Relief Requested (Remedy to be applied):

 

 

 

 

 

Signature of Grievant

 

 

 

Signature of Grievance Chairperson

 

       r do

I                 request a meeting at Step 1 of the grievance procedure.

       r do not


APPENDIX “A”

                                                Grievance - Part 1

 

 

 

 

 

 

Date:

 

 

 

 

 

 

 

 

Name:

 

 

 

IFO  Grievance Representative

 

 

 

 

 

 

 

 

 

 

 

 

Name:

 

 

 

 

 

 

 

 

University:

 

 

 

Mailing Address:

 

 

 

 

 

 

 

 

 

Department:

 

 

 

 

 

 

 

 

 

 

 

Sections of Agreement  Claimed Violated

 

1.

 

2.

 

3.

 

 

Nature and Facts of Grievance (Description of the acts, decision or omission which gave rise to the grievance) Appropriate documents attached.

 

 

Relief Requested (Remedy to be applied):

 

 

 

 

 

Signature of Grievant

 

 

 

Signature of Grievance Chairperson

 

       r do

I                 request a meeting at Step 1 of the grievance procedure.

       r do not