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Click ‘Get Form’ to open the SEIU 503 Official Statement of Grievance Form in the editor.
Begin by entering your name and, if applicable, the name of your group in the designated fields. This identifies who is filing the grievance.
Fill in your job classification and agency name, along with your work location. This information provides context for your grievance.
Next, specify the name of your immediate supervisor and indicate if you are filing with someone other than them.
Document the date when the grievance occurred or was discovered. Be precise to ensure clarity.
In the 'Statement of Grievance' section, clearly articulate your concerns. Include specific details and attach additional sheets if necessary.
Cite any articles from the contract that relate to the right violated and state the remedy you are requesting.
Sign and date the form at the bottom, then provide your home address and telephone numbers for contact purposes.
Lastly, fill in details for your steward and SEIU Field Representative associated with this grievance.

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