UPS 9.5 GRIEVANCE 2025

Teamsters Local 58

Affiliated with the INTERNATIONAL BROTHERHOOD OF TEAMSTERS

2212 NE Andresen Road, Vancouver, WA 98661
Phone: 360-693-5841 I Fax: 360-695-0768

UPS OVER 9.5 GRIEVANCE REPORT FORM
Grievant Name*
Cell Phone*
Mailing Address*
City State Zip*
Email*
example@example.com
Seniority Date*

MonthDayYear
Date
UPS Employee ID #*
Wage Rate*
AFTER OPTING IN ON (DATE)

MonthDayYear
Date
WITH SHOP STEWARD
Name
I WAS OVER DISPATCHED ON THREE WORKDAYS DURING THE WEEK(S)-ENDING LISTED BELOW. SUCH FAILURE TO REDUCE MY PAID-DAY HOURS VIOLATES ARTICLE 37 OF THE NMUPSA AND OTHER APPLICABLE ARTICLES. AS REMEDY, THE EMPLOYER SHALL HONOR THIS REQUEST IMMEDIATELY AND CONTINUALLY AND MAKE THE GRIEVANT WHOLE IN EVERY WAY.

Use the charts below to track the total paid-day hours for each day worked. (Example: How many hours did you work minus your lunch)
Week Ending:*

MonthDayYear
Date
MONDAY:
What Route?
If not on the same route, why?
TUESDAY:
What Route?
If not on the same route, why?
WEDNESDAY:
What Route?
If not on the same route, why?
THURSDAY:
What Route?
If not on the same route, why?
FRIDAY:
What Route?
If not on the same route, why?
SATURDAY:
What Route?
If not on the same route, why?
- Continue to track your paid-day hours once you have filed this grievance.

- File a Grievance for every week in violation.
Detailed Notes:
Shop Steward
Business Agent
Date*

MonthDayYear
Date
Signed*

Clear
Should be Empty: