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Statement of Occurrence - CWA Local 3905-2026
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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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