Fillable Ps Form 8190 Usps Nalc Joint Step A Grievance Form printable pdf download

Ps Form 8190 Usps Nalc Joint Step A Grievance Form

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Date Received at Step B (MM/DD/YYYY)

USPS-NALC Joint Step A Grievance Form

United States Postal Service

1. Grievant’s Name (Last, first, middle initial)

2. Seniority

3. ________________ (Check one)

4. Grievant’s SSN

FTF

PTR

PTF

5. Installation/Work Unit

6. Finance No.

7. NALC Branch No.

8. NALC Grievance No.

9. USPS Grievance No.

10. Date of Incident

11. Date Discussed with Supervisor (Filing date)

12. Supervisor Initials

13a. Companion MSPB Appeal?

13b. Companion EEO Appeal?

Yes

14. Issue Statement/Provide Contract Provision(s) and Frame the Issue(s)

15. Undisputed Facts (Attach All Supporting Documentation) . Attachments?

Number: __________

Yes

16. UNION: Disputed Facts and Contentions (Attach All Supporting Documentation)

17. MANAGEMENT: Disputed Facts and Contentions (Attach All Supporting Documentation)

18. Remedy Requested/Offered

19. Disposition and Date (Check one)

Resolved

Withdrawn

Not Resolved

Date of Formal Step A Meeting: ____________________

20a. USPS Representative Name

20b. Telephone No. (Include Area Code)

20c. USPS Representative Signature

20d. Date

21a. NALC Representative Name

21b. Telephone No. (Include Area Code)

21c. NALC Representative Signature

21d. Date

8190

PS Form

, September 2000 (Page 1 of 2)

Ps Form 8190 Usps Nalc Joint Step A Grievance Form

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