"Grievance Form - Ne Protective Services Fop 88 and State of Nebraska" - Nebraska

Grievance Form - Ne Protective Services Fop 88 and State of Nebraska is a legal document that was released by the Nebraska Department of Administrative Services - a government authority operating within Nebraska.

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  • Released on August 1, 2018;
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GRIEVANCE FORM
NE Protective Services FOP
88
Bargaining Unit:
and
Steward/Representative:
State of Nebraska
Steward’s Work Phone:
Name of Employee (Grievant):
State Agency:
Classification/Job Title:
Home Address:
City, State, ZIP
Home Phone Number:
Work Location:
Immediate Supervisor:
NOTE: Within 15 workdays of the occurrence of the grieved action (or from the day the employee should have known about the action) the employee shall present a formal written
grievance (on the grievance form) to the Agency Head/Designee.
STATEMENT OF GRIEVANCE
Contract Violation:
“ANY AND ALL OTHER ARTICLES AND SECTIONS THAT MAY APPLY”
See page 2 and succeeding pages and documents
Describe in detail, how, when, and where the portion(s) of
Article:
Section:
the Labor Contract you have identified were misapplied
and/or misinterpreted. (Use extra pages if necessary.)
RELIEF REQUESTED:
.
Employee/Grievant Signature (REQUIRED):
Date:
Union Steward’s/Other Representative’s Signature:
Steward’s Home Address:
City, State, ZIP:
Steward’s Home Phone Number:
NOTE: Employer’s response is due within 15 workdays upon the receipt of the grievance.
1
st
STEP
Agency Head’s/Designee’s Signature
Date Received
Date Answered
Agency Head/Designee Response (use extra pages, if necessary):
NOTE: If dissatisfied with the Step 1 decision, the grievant has 15 workdays to appeal to the Administrator of the DAS – Employee Relations Division/Designee (Step 2), with a copy to the
Agency Head. The employer’s response is due within 20 workdays from the date of the hearing. Either party has 7 workdays to appeal from the date of receipt of the decision.
st
nd
Please fill out after the 1
Step answer, if you wish to continue to the 2
Step
WAIVER
Pursuant to Sections 4.7 and 4.7.8 of the 2019-2021 Collective Bargaining Agreement between the State of Nebraska and FOP Nebraska Protective Services Lodge 88, I hereby acknowledge
that I am choosing to submit my grievance appeal through the voluntary and binding arbitration process and that the decision rendered by the arbitrator will be final and binding and will not
be subject to appeal except as provided by the Uniform Arbitration Act.
Employee Signature
Witness Signature
Date
→ NOTE: Make yourself a photocopy of this form before turning it in to management.
Revised 8/01/2018
Page 1 of 2
GRIEVANCE FORM
NE Protective Services FOP
88
Bargaining Unit:
and
Steward/Representative:
State of Nebraska
Steward’s Work Phone:
Name of Employee (Grievant):
State Agency:
Classification/Job Title:
Home Address:
City, State, ZIP
Home Phone Number:
Work Location:
Immediate Supervisor:
NOTE: Within 15 workdays of the occurrence of the grieved action (or from the day the employee should have known about the action) the employee shall present a formal written
grievance (on the grievance form) to the Agency Head/Designee.
STATEMENT OF GRIEVANCE
Contract Violation:
“ANY AND ALL OTHER ARTICLES AND SECTIONS THAT MAY APPLY”
See page 2 and succeeding pages and documents
Describe in detail, how, when, and where the portion(s) of
Article:
Section:
the Labor Contract you have identified were misapplied
and/or misinterpreted. (Use extra pages if necessary.)
RELIEF REQUESTED:
.
Employee/Grievant Signature (REQUIRED):
Date:
Union Steward’s/Other Representative’s Signature:
Steward’s Home Address:
City, State, ZIP:
Steward’s Home Phone Number:
NOTE: Employer’s response is due within 15 workdays upon the receipt of the grievance.
1
st
STEP
Agency Head’s/Designee’s Signature
Date Received
Date Answered
Agency Head/Designee Response (use extra pages, if necessary):
NOTE: If dissatisfied with the Step 1 decision, the grievant has 15 workdays to appeal to the Administrator of the DAS – Employee Relations Division/Designee (Step 2), with a copy to the
Agency Head. The employer’s response is due within 20 workdays from the date of the hearing. Either party has 7 workdays to appeal from the date of receipt of the decision.
st
nd
Please fill out after the 1
Step answer, if you wish to continue to the 2
Step
WAIVER
Pursuant to Sections 4.7 and 4.7.8 of the 2019-2021 Collective Bargaining Agreement between the State of Nebraska and FOP Nebraska Protective Services Lodge 88, I hereby acknowledge
that I am choosing to submit my grievance appeal through the voluntary and binding arbitration process and that the decision rendered by the arbitrator will be final and binding and will not
be subject to appeal except as provided by the Uniform Arbitration Act.
Employee Signature
Witness Signature
Date
→ NOTE: Make yourself a photocopy of this form before turning it in to management.
Revised 8/01/2018
Page 1 of 2
Revised 8/01/2018
Page 2 of 2
Page of 2