Teamsters Local 1205
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L O C A L 1 2 0 5 G r I e v a n c e F o r m Company name: Grievance’s name: Today’s Date: ____ Date of Occurrence: Time: Date of Hire: ____ Nature of Dispute: _____ (Circumstances in Short Precise Facts): __________________ ___________ ______________________________________________ Names of witnesses: _______ ___ ………………………………..……… …………...………………………… Shop Steward signature Grievance’s signature Remedy requested: ______________________________________________ _______________________________________________________________ _______________________________________________________________ Make whole in every way including: ____________ _____________ ____________ COMPANY’S RESPONSE:___________________________________________ ________________________________________________________________ Supervisor’s name: Date: |
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