GRIEVANCE FACT SHEET
AFSCME Council 31
============================================================================
This form is confidential and for Union use only. Please send along with a copy of the grievance to:
AFSCME Springfield Union Office only.
============================================================================
LOCAL UNION #____________________ GRIEVANCE #_____________________
GRIEVANT_________________________ DEPARTMENT______________________
CLASSIFICATION___________________ DATE OF HIRE____________________
WORK #___________________________ HOME #__________________________
BARGAINING UNIT__________________ WORK LOCATION___________________
============================================================================
What happened? Also describe incidents which gave rise to the grievance.___
____________________________________________________________________________
____________________________________________________________________________
Who was involved? Give names and titles (include witnesses)._______________
____________________________________________________________________________
When did it occur? Specific day, time, date(s).____________________________
Where did it occur? Specific locations_____________________________________
Why is this a grievance? What is management violating:contract, rules & regulations, disparate treatment, existing policy, past practice, etc...?_________________________________________
____________________________________________________________________________
Demand. State what action should be taken to resolve the grievance.
____________________________________________________________________________
____________________________________________________________________________
Did management make any offer? yes/no If yes, explain fully.______________
____________________________________________________________________________
============================================================================
See next page for a list of documents that should be sent to Council 31 along with this fact sheet.
You may use additional sheets to answer these questions.
Page 3