Copyright 2007-Teamsters Local 17. All Rights Reserved.
Grievance Form
Name of company
Date grievance occurred
Member's Name
Phone
Member's Address
City
State
Zip
Type of claim:
Discharge
Suspension
Pay Claim
Seniority Violation
Other
Descripton of grievance
You have 800 characters remaining
for your description.
Article(s) of contract violated
Action requested
Date of meeting with member and management in order to resolve grievance
Date of meeting with steward, member and management in order to resolve grievance
Member :
Steward :
Manager :
This form is the sole possession of Teamsters Local 17. Only an authorized representative of Teamsters Local Union No. 17 has the right to withdraw or settle this grievance.
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