UPS 9.5 Grievance Form

Teamsters Local 58

UPS Over 9.5 Grievance Form
This form must contain all of the following information:
Date of filing

MonthDayYear
Grievant Name:
Cell Phone:
Please enter a valid phone number.
Mailing Address:
City, State, Zip:
Email
example@example.com
Local 58 Seniority Date:

MonthDayYear
UPS Employee ID #:
Wage Rate:
VancouverKelsoWarrentonTillamook
Bid Package DriverUnassigned Packed Driver
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22.4 combination drivers are not protected by the provisions of Article 37.1c of the National Master which contains the triple time penalties. However, 22.4 drivers are protected by Article 19 of the Western Supplement and have the right to file a grievance protesting excessive overtime and requesting your working hours be reduced.

Contract Articles Violated: 37.1(c) NMUPSA, 19 WRSA, and any other articles that may apply.
....................................................................................................................
MONDAY - Date of Occurrence

MonthDayYear
MONDAY - Hours
MONDAY - Route #
MONDAY - Help Requested?

YesNo
MONDAY - Help Given?

YesNo
....................................................................................................................
TUESDAY - Date of Occurrence

MonthDayYear
TUESDAY - Hours
TUESDAY - Route #
TUESDAY - Help Requested?

YesNo
TUESDAY - Help Given?

YesNo
....................................................................................................................
WEDNESDAY - Date of Occurrence

MonthDayYear
WEDNESDAY - Hours
WEDNESDAY - Route #
WEDNESDAY - Help Requested?

YesNo
WEDNESDAY - Help Given?

YesNo
....................................................................................................................
THURSDAY - Date of Occurrence

MonthDayYear
THURSDAY - Hours
THURSDAY - Route #
THURSDAY - Help Requested?

YesNo
THURSDAY - Help Given?

YesNo
....................................................................................................................
FRIDAY - Date of Occurrence

MonthDayYear
FRIDAY - Hours
FRIDAY - Route #
FRIDAY - Help Requested?

YesNo
FRIDAY - Help Given?

YesNo
....................................................................................................................
SATURDAY - Date of Occurrence

MonthDayYear
SATURDAY - Hours
SATURDAY - Route #
SATURDAY - Help Requested?

YesNo
SATURDAY - Help Given?

YesNo
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Important: If you believe you may be over 9.5 make sure you are contacting your center for help on a daily basis, and make sure you are documenting that communication, including the response from the center.

I am requesting relief from excessive overtime and all other appropriate remedies afforded under the CBA.
Signature

Clear
Grievant must fill out this form completely, submit a copy to the Employer and furnish a copy immediately to:

Teamsters Local 58
2212 NE Andresen Road
Vancouver, WA 98661
Phone: 360-693-5841 Fax: 360-695-0768
Should be Empty:

Teamsters Local 58