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Statement of Occurrence - CWA Local 3905

Statement of Occurrence - CWA Local 3905-2025

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The document is a grievance form (Form 3G30-2) used by employees to report violations of the Working Agreement. It collects personal and contact information of the grievant, details about the grievance, and allows for witness statements. The form also includes consent for union representatives to access relevant employment records.

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Click ‘Get Form’ to open the Statement of Occurrence in the editor.
Begin by entering your local name and telephone number at the top of the form. This information is essential for identification purposes.
Fill in your work address, including street, city, state, and ZIP code. Ensure accuracy as this will be used for correspondence.
Next, provide your home address details in the designated fields. This is important for receiving updates regarding your grievance.
Input your seniority date and NCS date. These dates are crucial for establishing your employment timeline.
Complete the personal cell and email sections to facilitate communication regarding your grievance.
In the department and title fields, specify your current role within the organization.
Enter your supervisor’s name and phone number to ensure they can be contacted if necessary.
Provide a detailed statement of facts concerning the grievance condition that exists. Use clear language to describe what happened and reference any relevant articles from the Working Agreement.
List any witnesses on the reverse side of the form or attach additional statements if needed. Make sure all witness information is complete.
Sign and date where indicated to authorize consent for inspection by union representatives regarding relevant records.

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2019	4.1 Satisfied (50 Votes)
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