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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 in the 'Name of Grievant(s)' field, followed by any group name if applicable. This identifies who is filing the grievance.
Fill in your job classification and agency name to provide context about your employment situation.
Specify your work location and the name of your immediate supervisor. This information is crucial for routing the grievance correctly.
Indicate where you are filing the grievance if it’s not with your supervisor, and note the date when the grievance occurred or was discovered.
In the 'Statement of Grievance' section, be specific about the issue, including dates and any necessary details. You can attach additional sheets if needed.
Cite any articles from your contract that relate to the right violated and specify what remedy you are requesting.
Sign and date at the bottom of the form, then provide your home address and telephone numbers for contact purposes.
Lastly, fill in details for your steward and SEIU Field Rep associated with this grievance to ensure proper representation.
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A grievance procedure is a formal way for an employee to raise a problem or complaint to their employer. The employee can raise a grievance if: they feel raising it informally has not worked. they do not want it dealt with informally.
What is a statement of grievance?
Statement of Grievance shall name the employee or employees involved, state the facts giving rise to the grievance, identify all the provisions of this Agreement alleged to be violated by appropriate reference, state the contention of the employee with respect to these provisions, indicate the relief requested, and
What qualifies for grievance?
The ILO defines a grievance as the belief of one or more workers that their employer has not respected their rights and entitlements as established in provisions of an applicable collective agreement or individual contract of employment, works rules, laws, or the custom or practice of the workplace, industry, or
What is SEIU 503 mission statement?
We work together to improve the lives of care providers and their consumers, and help build an Oregon where access to care and support is a top priority.
What is an example of a grievance statement?
Dear [name of employer / HR manager / line manager], I am writing to raise a formal grievance. I have a [problem with / complaint about] [give details]. [Optional] I have evidence in the form of [give details]. [Optional] I would like [give details of what you want your employer to do to resolve the grievance].
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Why would someone file a grievance?
A grievance is filed whenever there is a breach in the union contract, usually committed by management. It can have different outcomes, depending on the type of grievance. For example: compensation pay, getting more new hires, conversions, etc.
Related links
collective bargaining agreement
Grievances shall be filed at all steps of this procedure on the form identified as the Official Statement of Grievance Form. Once filed, the Union shall not
Grievances shall be filed through the appropriate steps of this procedure on the form identified as the Official Statement of Grievance Form. Except during
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