Workers of

First Step Grievance Report

"*" indicates required fields

Hire / Seniority Date*
Type of Grievance*
(Check one)
(Name & Title of supervisor grievance request form given to)
Date Presented*
Date of First Step Meeting*
Date Received Company Answer to First Step*
(Give brief description of issue grieved)
(Denied / Settled)
State of the Grievance*
(Check one)
Work Address of Director*
This field is for validation purposes and should be left unchanged.
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