PBJ Shop Steward Report
Your Name *
THIS REPORT IS FOR THE MONTH OF:
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Home Address (if changed)
Cell Phone: *
Email: *
Employer: *
Department: *
How many people do you represent? *
In which month was the last Joint Board Meeting you attended?
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Did you sign any of your members up for PAC? *
If yes, how many people?
Did you file any grievances? *
If yes, what were the issues?
Was anyone in your department fired? *
If yes, who was fired?
Was anyone in your department laid off? *
If yes, how many people were laid off?
Did anyone in your department retire? *
If yes, who retired?
Was anyone hired in your department? If yes, tell us their name and hire date.
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