American Postal Workers Union, AFL-CIO

GRIEVANT/PERSON OR union ( Last Name First) ADDRESS CI TY STATE ZIP PHONE NO. EIN CRAFT STATUS LEVEL step DUTY HOURS OFF DAYS E-MAIL JOB LOCATI ON (UNIT/SEC/ CR/STA/OFC) Postal INSTALLATION L EVEL WORK LOCATION CITY AND ZIP CODE SENIORITY PREF. ELIGIBLE YES NO DI SCIPLINE CONTRACT DATE LOCAL GRIEVANCE NO. UNIT/SEC/ BR/STA/OFC INCIDENT DATE/TI ME USPS REP - SUPR GRIEVANT AND/ OR STEWARD step 1 DECISION BY (NAME AND TITLE) DATE/TI ME INITIALS (ONLY VER IF IES DATE OF DECI SION) American Postal Workers union , AFL-C IO 1 step 1 GRIEVANCE OUTLINE WORKSHEET HQ Revised 04/24/12 2 3 4 5 6

local grievance no. unit/sec/br/sta/ofc. incident date/time; usps rep - supr. gr; ievant and/ or steward step 1 dec. ision by (name and title) date/time initials

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Transcription of American Postal Workers Union, AFL-CIO

1 GRIEVANT/PERSON OR union ( Last Name First) ADDRESS CI TY STATE ZIP PHONE NO. EIN CRAFT STATUS LEVEL step DUTY HOURS OFF DAYS E-MAIL JOB LOCATI ON (UNIT/SEC/ CR/STA/OFC) Postal INSTALLATION L EVEL WORK LOCATION CITY AND ZIP CODE SENIORITY PREF. ELIGIBLE YES NO DI SCIPLINE CONTRACT DATE LOCAL GRIEVANCE NO. UNIT/SEC/ BR/STA/OFC INCIDENT DATE/TI ME USPS REP - SUPR GRIEVANT AND/ OR STEWARD step 1 DECISION BY (NAME AND TITLE) DATE/TI ME INITIALS (ONLY VER IF IES DATE OF DECI SION) American Postal Workers union , AFL-C IO 1 step 1 GRIEVANCE OUTLINE WORKSHEET HQ Revised 04/24/12 2 3 4 5 6