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National Postal Mail Handlers Union, Local No. …

National Postal mail Handlers union , Local of the Laborers' InternationalUnion of North America, AFL-CIOP ursuant to Article XV, Section 2, this form must be used to appeal a grievance to step GRIEVANCE FORMDateBranch Grievance : USPS Step 2 Designee (Name and Title)InstallationPhone - OfficeFrom: Local union Branch Address Step 2: Authorized union RepresentativePhone - OfficePhone - OtherStep 1 Meeting: Held On (Date and Time)Between: USPS RepresentativeAnd: Grievant And/Or StewardGrievant's Name (or Class)PhoneHome Address CityStateZipJob Classif icationCraft Seniority DateService Seniority DateDuty HoursInstallation, Station, or BranchEmployee Identif ication Days: Sa Su M T W Th FFixed - CheckAs ApplicableLevelStepRegularUnassign Reg.

National Postal Mail Handlers Union, Local No. Division of the Laborers' International Union Daof North America, AFL-CIO Pursuant to Article XV, Section 2, this form must be used to appeal a grievance to step 2.

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Transcription of National Postal Mail Handlers Union, Local No. …

1 National Postal mail Handlers union , Local of the Laborers' InternationalUnion of North America, AFL-CIOP ursuant to Article XV, Section 2, this form must be used to appeal a grievance to step GRIEVANCE FORMDateBranch Grievance : USPS Step 2 Designee (Name and Title)InstallationPhone - OfficeFrom: Local union Branch Address Step 2: Authorized union RepresentativePhone - OfficePhone - OtherStep 1 Meeting: Held On (Date and Time)Between: USPS RepresentativeAnd: Grievant And/Or StewardGrievant's Name (or Class)PhoneHome Address CityStateZipJob Classif icationCraft Seniority DateService Seniority DateDuty HoursInstallation, Station, or BranchEmployee Identif ication Days: Sa Su M T W Th FFixed - CheckAs ApplicableLevelStepRegularUnassign Reg.

2 PTR PTF MHA Step 1: Rendered on (Date and Time) By (Name and Title)DecisionSupervisor s Init ials(Upon Request)Pursuant to Article XV of the National Agreement, We hereby appeal to Step 2, the following grievance:Violation: Including but not limited to National (Art. & Sec.) Local MOU (Art. & Sec.) Other Grounds: Facts and union Contentions: Date, Time & Location: What happened: Additions Sheet(s) AttachedCorrective Action Requested: Signature Branch President or StewardForm No. 79-1 WithdrawnResolvedDateMH Init ialsUSPS Init ialsStateZipYes NoPage 2 DateBranch Grievance s Name (or Class)Facts and union Contentions (Continued from Page 1):STANDARD GRIEVANCE FORMPage 3 DateBranch Grievance s Name (or Class)Facts and union Contentions (Continued from Page 2):STANDARD GRIEVANCE FORM


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