Employee Grievance - Fire Department - City Of Milwaukee printable pdf download

EMPLOYEE GRIEVANCE

File No. __________________

City of Milwaukee

FIRE DEPARTMENT

CC-233 R. 11/2007

Instructions:

To initiate a grievance (PART I): 1) On the original and five copies of this form, complete Part I where applicable; 2) Give

the original and four copies to the grievant’s Battalion Chief; 3) Retain one copy for your records; 4) After disposition, the

grievant’s Battalion Chief shall return the original to the grievant, forward one copy to the Fire Department administration

office, one copy to the City Labor Negotiator, one copy to the Milwaukee Professional Fire Fighters Association, and retain

one copy for the Battalion file.

II.

To appeal grievance disposition (PART II): 1) Complete, where applicable, PART II of your original grievance form and

then make three copies; 2) Give the original and three copies to the Fire Department administration office; 3) After disposition

the Board of the Investigation shall return the original to the grievant, forward one copy to the City Labor Negotiator, one copy

to the Milwaukee Professional Fire Fighters Association and retain one copy for the department file.

III.

To appeal grievance disposition (PART III): 1) Complete, where applicable, PART III of your original grievance form and

make three copies; 2) Give the original and three copies to the Fire Chief; 3) After disposition, the Fire Chief shall return the

original to the grievant, forward one copy to the City Labor Negotiator, one copy to the Milwaukee Professional Fire Fighters

Association, and retain one copy for the department file.

IV.

To appeal Grievance Disposition (PART IV): 1) Complete, where applicable, PART IV of your original grievance form and

make one copy; 2) Give the original to the City Labor Negotiator and forward one copy to the Fire Chief.

PART I – Grievance Initiation (print or type):

Name of aggrieved employee:

Title:

Payroll #:

Battalion and Company:

Date:

Association Representative Signature

Title

Date

Statement of Grievance: [State either – but not both – 1) the contract clause involved, making reference to the

appropriate page and line number(s); or 2) the rule involved, making reference to the appropriate rule and section

number(s).]

Employee signature: _____________________________________________________ Date: __________________

Action requested:

Employee signature: _____________________________________________________ Date: __________________

Grievance Disposition:

Battalion Chief: _________________________________________________________ Date: __________________

PARTS II, III, IV, Grievance Disposition, Appeals on next page…

Employee Grievance - Fire Department - City Of Milwaukee