Ps Form 8191 - Usps-Nrlca Joint Step 1 Grievance Form Page 2
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1
2Instructions
Explanation
Item
1a.
Self-explanatory.
1b.
Enter Grievant’s Employee Identification Number (EIN). Do not enter SSN.
1c.
Self-explanatory.
1d.
Self-explanatory.
1e.
Self-explanatory.
2a.
Self-explanatory.
2b.
Self-explanatory.
Self-explanatory.
2c.
3a.
Enter the date when the event causing the grievance occurred or when the employee or union first became aware of the
event.
3b.
Enter the date the employee and supervisor discussed the grievance pursuant to Article 15.3 Step 1a.
3c.
Indicate if time limits have been extended in the space designated, (Explain).
A timely grievance is one that does not exceed 14 days between item 3a and 3b, unless the parties have extended time
limits.
4.
Enter a statement in the form of a question.
Examples: Was there just cause for the letter of warning dated 2/15/96 issued to the grievant for unsatisfactory work
performance? Did management violate Article 30.2.G when the grievant was denied the auxiliary route assignment on
2/15/96?
5.
Manager and/or Steward
Annotate any contractual or handbook provisions involved in the grievance.
6.
Manager and/or Steward
List all relevant facts not in dispute.
Manager
List any facts in dispute based on your understanding of the facts.
7.
8.
Manager
Provide concise, descriptive statements to support management's position and reason for
denying the grievance.
9.
Steward
List any facts in dispute based on your understanding of the facts.
10.
Steward
Provide concise, descriptive statements to support the union's position for the grievance.
11.
Steward
Provide a specific statement of the remedy the union is requesting. Do not list any
settlement offers on this form.
12a.
Manager
Check the appropriate box.
12b.
Manager
Self-explanatory.
13.
Manager
Sign and give telephone number.
14.
Steward
Sign and give telephone number.
8191
PS Form
, March 2007 (Reverse)
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