GRIEVANCE RECORD
_____________________________________ _______________________________
Grievant's Name Work Location
_____________________________________ _______________________________
Classification Seniority Date
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STEP ONE
Date of oral grievance_____________________
Date of Immediate Supervisor Response___________________
Resolved at STEP ONE: yes/no Steward______________________Date________
Date notification sent to member:__________________by__________________
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STEP TWO
Date moved to Intermediate Administrator______________________
Date discussed with Intermediate Administrator________________
Date of written response_____________________
Resolved at STEP TWO: yes/no Steward____________________Date________
Date notification sent to member:__________________by__________________
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STEP THREE
Date to Agency Head_______________________
Date sent to Council 31___________________
Date notification sent to member:__________________by__________________
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AFSCME Council 31
615 South Second Street
P.O.Box 2328
Springfield, IL 61705-2328
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