Teamsters Local 983
Grievance Form No Grievance may be filed more than 30 calendar days from the date of the known occurrence as it will be deemed untimely.
Name
*
First Name
Last Name
Employee ID
*
Phone Number
*
Email
*
Address
*
Street Address
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
What Center/Building
*
Pocatello
Soda Springs
Idaho Falls
Rexburg
Salmon
Challis
Job Classification
*
RPCD
22.4
Feeder
Air
Utility
Preload
Local Sort
Other
What is the Grievance About?
*
Daily Guarantee
Pay Issue
9.5 Violation
8- Hour Violation
Supervisor Working
Seniority Violation
Discrimination/Harassment/Over Supervision
Discipline
Other________________
Contract Violated (Please select all that apply)
*
NMA
WRSA
JC3 (FT)
JC3 (PT)
Please specify all Contract Article(s) that may apply
*
Exact Type of Discipline
*
Warning
1 Day Suspension
3 Day Suspension
Termination
Other
Exact Details and/or Reason for Grievance and/or Discipline?
*
Who? What? Where? Why? How long? Witnesses?
Back
Next
Approved 8-Hour Day?
*
Yes
No
Approved 9.5 List?
*
Yes
No
Please add WE/DATE, Start Time, Hours Worked and Route
*
Week Ending _________/_________/_________ Date of 8-Hour Violation _________/_________/_________ Monday Start Time____________ Hours Worked____________ Route____________ Tuesday Start Time____________ Hours Worked____________ Route____________ Wednesday Start Time____________ Hours Worked____________ Route____________ Thursday Start Time____________ Hours Worked____________ Route____________ Friday Start Time____________ Hours Worked____________ Route____________ Saturday Start Time____________ Hours Worked____________ Route____________ Were you forced in? ____________
DO NOT FORGET TO SUBTRACT YOUR LUNCH
Submit
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