Grievance form - NAPE 2025

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The document is a grievance form used by employees to formally report issues or disputes related to their employment. It includes sections for employee information, details of the grievance, requested adjustments, and signatures from both the employee and NAPE representatives. The form outlines a process for responses from supervisors at multiple levels, culminating in a final decision regarding the grievance.

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Click ‘Get Form’ to open the grievance form in the editor.
Begin by filling in your personal details. Enter your name, date, classification, NAPE local, and contact information including primary and secondary phone numbers as well as your email address.
Provide your employer's worksite and mailing address. Make sure to include your NAPE membership number for identification.
In the 'Statement of Grievance' section, clearly articulate the issue you are facing. Use concise language to describe the situation thoroughly.
Next, specify the 'Requested Adjustment' that you seek regarding your grievance.
Sign and date the form at the bottom. Ensure that a NAPE representative also prints their name and signs it.
After submission, keep track of replies from your supervisor and NAPE representatives by filling in their signatures and dates on each response section provided.

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What is a good example of grievance?

Some common examples that employees may file grievances about include: Verbal Abuse: This includes insults, derogatory comments, or offensive jokes aimed at an individuals race, gender, religion, or any other protected characteristic.

What should I include in my grievance?

The name of the person you are complaining about (if applicable). The names of witnesses who can support your grievance with relevant facts. The nature of the grievance. Often you will be provided a space to type out your complaint. Your signature and date.

What to write on a grievance form?

Basic rules keep your letter to the point. You need to give enough detail for your employer to be able to investigate your complaint properly. keep to the facts. never use abusive or offensive language. explain how you felt about the behaviour you are complaining about but dont use emotive language.

What do you write in a grievance form?

Template [Todays date] Dear [name of employer / HR manager / line manager], 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].

How do you write a list of grievances?

Complete Description: State the grievance with explanatory or descriptive material. Convey facts in chronological order with names, dates, and places where appropriate. List all informal efforts undertaken to resolve the grievance and the results.