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- Click ‘Get Form’ to open the STATEMENT OF OCCURRENCE in the editor.
- Begin by entering your NAME and EE ID# in the designated fields at the top of the form.
- Fill in your ADDRESS and RATE OF PAY, ensuring all information is accurate for processing.
- Provide your WORK LOCATION, SENIORITY DATE, and both WORK and HOME TELEPHONE NUMBERS.
- Complete the DEPARTMENT and TITLE sections to clarify your position within the organization.
- Enter your SUPERVISOR’S NAME and PHONE NUMBER for reference during the grievance process.
- In the statement section, clearly describe the facts concerning your grievance, including dates and relevant articles from the Working Agreement.
- If necessary, use additional pages to provide a comprehensive account of events related to your grievance.
- Sign and date at the bottom of the form to validate your statement before submission.
- Lastly, if applicable, complete the RELEASE OF PERSONAL AND/OR MEDICAL RECORDS section for further processing.
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