Grievance Form
Complete this form if you feel that the contract has been violated and you need to file a grievance.
This information will be kept confidential while being investigated.  If possible, a remedy will be found without filing a grievance.
Sign in to Google to save your progress. Learn more
Your Name (or name of Grievant if you are filling this out for someone) *
Date *
MM
/
DD
/
YYYY
Job Title *
Job Location *
Date Event Occurred Giving Rise to Grievance *
MM
/
DD
/
YYYY
Has the employee attempted to resolve grievance with supervisor? *
Statement of Cause of Grievance (including date, time, place and all factual circumstances) *
What part of the contract do you believe was violated? *
What would remedy the situation for you? *
What is the best way for the grievance committee to follow up with you?   *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms