Step One Grievance Form
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1
2STEP ONE GRIEVANCE
Case Number:
(Leave Blank)
Name of Grievant:
Title:
File Number:
School:
_________________________
District: _____
File Date: ___________
Dear ________________________________:
Pursuant to the procedures set forth in Article(s) ____________________ of the Collective
Bargaining Agreement covering ________________________________
please arrange a conference with me to discuss the following complaint:
Articles Violated:
(List articles here. Always list article 20)
Remedy Sought:
(ex. prep made up or paid for)
I shall be represented at the conference by ____________________________.
Sincerely,
(Signature)
____________________________
(Print Name)
____________________________
(Home Address)
____________________________
(Phone Number)
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