Grievance Fact Sheet – CANADIAN UNION OF POSTAL WORKERS

Date
Last Name
Given Name
Employee ID number
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry
Phone
Email *
Employee:
Check OneFull TimePart TimeTemporaryProbation
First Date of Service
Employer
Work Location
Classification
Check one.Group 1 (PO4 / PO5)Group 2 (Letter Carriers / M.S.C.)R.S.M.C.Group 3Group 4
Shift
Section / Route
Name of Shop Steward
Date of Investigation:

Text area can hold approximately 1000 words *
On what date did you become aware, for the first time, that you had a grievance?
Corrective Action Requested *
Please attach any documentation you have to support your facts. Examples are 24 notice of interview, copy of staffing sheet, pay stubs. If you have more documents to upload, you may use any of the unused upload links.
If you are unsure of what other documents needed or how to obtain, seek out a shop steward.
Scan documents or take a clear photo.
Copy of 24 Hour notice of interview upload
Copy of shop steward notes upload If you have more than 2 (two) documents, please forward to Tom Spurgeon tspurgeon@cupw560.ca or Frank Thoms fthoms@cupw560.ca
Narrative of interview upload
Letter of decision and/or suspension upload
Witness Statement upload
Additional upload
Any other documents you may email to Tom Spurgeon tspurgeon@cupw560.ca or Frank Thoms fthoms@cupw560.ca
By Entering your name in the Signature field and clicking Submit, you confirm and agree that all information is accurate and correct. *
INSTRUCTIONS: AFTER CLICKING ON THE SUBMIT BUTTON BELOW, THE FORM MAY TAKE A MINUTE TO PROCESS, PLEASE WAIT FOR THE CONFORMATION SCREEN. THANK YOU