GRIEVANCE FORM – IBEW MEMBERS

GRIEVANCE FORM – IBEW MEMBERS

Form 337 - Grievance Procedure
Name of Aggrieved Employee *

First Name Last Name
Address of Aggrieved Employee

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Classification Title *
Date of Grievance

Month Day Year
Date
Company *
Level of Grievance
Description of Grievance
Steps taken by Aggrieved Employee for Adjustment of Grievance
Corrective Action suggested by Aggrieved Employee
Agreement & Signature

I agree that this form is accurate to the best of my knowledge.
Signature of Aggrieved Employee

Clear
Signature of Immediate Supervisor of Aggrieved Employee

Clear
Signature of Receipt by Official at Level of Grievance

Clear
Date

Month Day Year
Enter the message as it's shown *
You may submit this form electronically by selecting the SUBMIT button, or you may select the PRINT FORM button to send it via:

- Email (info@ibew37.com)
- Fax (1-800-723-1226)
- Internal Mail (NB Power members)
Should be Empty:

Agreement & Signature