Teamsters Local Union No. 436

Action Center

GRIEVANCE FORM - LOCAL 436

Sample form below. You can edit this form and edit this text. The text will show up at the top of the form page, just as you see it now. You can edit the form using the buttons above.

GRIEVANT INFO ONLY - First name:
Last Name:
Email Address:
Phone Number:
Last 4 of Social Security No.
Employer:
Job Title:
Hourly Rate:
Your Union Steward's Name: (Indicate no steward or unknown if your company does not have a union steward)
Contract Clause Affected: (Which Article in the contract was violated)
Remedy Sought by Grievant: (How do you want the grievance to be settled)
Today's Date:
Is your Union Steward aware of this Grievance? (yes/no) (or no steward)
Signed by Grievant: (This will be your signature) Click Submit Below: (all above fields must be filled in)
DO NOT FILL OUT ANY INFORMATION BELOW ....THIS IS FOR UNION USE ONLY:
STEP ONE - Grievance Submitted Orally - Date:
STEP TWO - Union Steward and Employer Meeting/Date:
EMPLOYER POSITION: (as of Date)
DISPOSITION OF GRIEVANCE:
Disposition of Grievance DATE: