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Workplace Complaint
REPORTER
Who is reporting?
Reporter Mobile Phone
*
Home Email of Reporter
*
Are you a a Steward?
Yes
No
ISSUE/INCIDENT
What happened or is happening?
*
Describe incidents which gave rise to the grievance.
Name and classification of involved employee(s).
*
Grievant
Is involved employee in probation period?
No
Yes
When did this occurr?
Month
Month
Jan
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Day
Day
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Year
Year
2021
2022
2023
2024
2025
Employee Mobile Phone
*
Employee Home Email
*
LOCATION
Department and unit of incident.
Building/Space where incident occurred.
Name and title of employee's supervisor
*
Provide union contract article(s) subject to violation.
Additional comments and recommended corrective actions management should take.
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