Grievance
Form
WEST COAST TACTICAL TRAINING RANGE
GRIEVANCE FORM (Refer to CBA Article 9)
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Grievance Number: |
(e.g. 2005-0001) |
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Grievance Type: |
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Employee vs Company i.e. |
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Union vs Company i.e. |
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ORAL STEP DISCUSSION |
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Grievance Submitted by: |
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Date: |
/ / |
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Grievance discussed with Grievant & Steward: |
Date: |
/ / |
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A. This Grievance is based on the following facts: |
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B. Collective Bargaining Agreement Article/Section alleged to have been violated: |
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C. Remedy Sought: |
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SIGNATURES (within fifteen (15) full working days of occurrence) |
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Steward or Designee: |
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Date: |
/ / |
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Supervisor/Department Manager: |
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Date: |
/ / |
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Page 1 of 1
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STEP 1. Supervisor/Department Manager’s Response: (within Ten (10) full working days) |
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SIGNATURES (within Ten (10) full working days) |
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Supervisor/ Department Manager: |
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Delivered: |
/ / |
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Steward or Designee: |
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Received: |
/ / |
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STEP 1. Union Response: (within Ten (10) full working days) |
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Grievance Number _______-_______ [ HAS / HAS NOT ] been satisfactorily been resolved and [ IS / IS NOT ] deemed appropriate to proceed to Step 2 of the Grievance procedure as per the Collective Bargaining Agreement Article 9. |
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SIGNATURES (within Ten (10) full working days) |
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Steward or Designee: |
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Delivered: |
/ / |
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Program Manager or Designee: |
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Received: |
/ / |
Page 2 of 1
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STEP 2. Program Manager’s Response: (within Ten (10) full working days) |
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SIGNATURES (within Ten (10) full working days) |
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Program Manager or Designee: |
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Delivered: |
/ / |
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Steward or Designee: |
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Received: |
/ / |
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STEP 2. Union Response: (within Ten (10) full working days) |
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Grievance Number _______-_______ [ HAS / HAS NOT ] been satisfactorily been resolved and [ IS / IS NOT ] deemed appropriate to proceed to Step 3 of the Grievance procedure as per the Collective Bargaining Agreement Article 9. |
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Steward or Designee: |
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Delivered: |
/ / |
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Program Manager or Designee: |
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Received: |
/ / |
Page 3 of 1
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STEP 3 MEETING: (Human Resources Manager/s, Union Representative, & Union International Representative) |
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Step 3 Meeting Scheduled: (within 30 full working days) |
Date: |
/ / |
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STEP 3 COMPANY’S RESPONSE: (within ten (10) full working days of Step 3 Meeting) |
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SIGNATURES (within Ten (10) full working days) |
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Company Representative: |
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Delivered: |
/ / |
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Union Representative: |
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Received: |
/ / |
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STEP 3 UNION’S RESPONSE: (within ten (10) full working days of Step 3 Meeting) |
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Grievance Number _______-_______ [ HAS / HAS NOT ] been satisfactorily been resolved and [ IS / IS NOT ] deemed appropriate to proceed to Arbitration of the Grievance procedure as per the Collective Bargaining Agreement Article 9. |
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Union Representative: |
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Date: |
/ / |
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The Company hereby submits Grievance Number _______ - _______ to Arbitration as per the Collective Bargaining Agreement Article 9 |
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Program Manager or Designee: |
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Date: |
/ / |
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This Grievance Package is to be returned to the Chief Steward after the Company has been notified that this Grievance is or is not being appealed to Arbitration |
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