PS Form 8190 USPS-Nalc Joint Step a Grievance Form

What Is PS Form 8190?

PS Form 8190, USPS-NALC Joint Step a Grievance Form - also known as the USPS Form 8190 or the USPS-NALC Grievance Form - is a form used for internal dispute resolution in the United States Postal Service (USPS). It was created by both the USPS and the National Association of Letter Carriers (NALC).

An up-to-date printable PS Form 8190 is available for download below. Alternatively, you can download it from the USPS website.

The USPS Form 8190 consists of two parts, the Informal Step A, which is completed by an NALC Shop Steward, and a Formal Step A, which is completed by a union or management representative. The issue may be solved by submitting the Informal Step A part. If it is not solved, the Formal Step A is submitted.

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What Is the Latest Version of the PS Form 8190?

The new PS Form 8190 became effective on March 17, 2016. The revised version was authorized in order to update the instructions portion of the form. This was done to reflect current USPS-NALC Joint Contract Administration Manual (JCAM) language.

In the revised version, you need to follow three steps. In the first step, you, as a grievant, submit a PS Form filled until Item 13. Enter your personal information and information about the grievance. Enter your supervisor's information.

The second step is used to record the process of a conflict resolution and attach appropriate documentation including the names and signatures of the persons involved in the grievance process. If the grievance is resolved at Formal Step A, proceed to Item 20, enter the principles of the agreement, and complete Items 21-22. If the grievance is not resolved at Formal Step A, you have to complete Items 16 through 22.

USPS Grievance Form

The form consists of three pages. The form itself is on the first and last pages. The instructions are on the second page. Some things to keep in mind:

  • Union Stewards must send the original documents along with the PS Form 8190, contentions and steward summary;
  • Stewards must keep in mind the timelines for the grievances;
  • Each grievance should be mailed in a separate envelope;
  • Each page in the grievance package should be numbered;
  • The first page of the grievance should be the PS Form 8190, and should be fully completed;
  • Right after the PS Form 8190, include a table of contents that correspond to the page numbers of the package.
Date Received at Step B
(MM/DD/YYYY)
USPS-NALC Joint Step A Grievance Form
INFORMAL STEP A — NALC Shop Steward Completes This Section
(See instructions on page 2.)
1. Grievant’s Name (Last, first, middle initial)
2. Grievant’s Telephone No. (Include area code)
3. Seniority Date
4
Status (Check one)
5. Grievant’s Employee Identification Number (EIN)
(MM/DD/YYYY)
CCA
FT
FTF
PTR
PTF
6. District, Installation, Work Unit, ZIP Code®
7. Finance No.
8. NALC Branch No.
9. NALC Grievance No.
10. Incident Date
11. Date Discussed With Supervisor (Filing date)
(MM/DD/YYYY)
12a Companion MSPB Appeal?
Yes
No
12b. Companion EEO Appeal?
Yes
No
13a. Supervisor’s Printed Name, Initials, and Telephone No.
13b. Steward’s Printed Name, Initials, and Telephone No.
FORMAL STEP A — Formal Step A Parties Complete This Section
(See instructions on page 2.)
14. USPS Grievance No.: Obtain prior to Formal Step A meeting.
15. Issue Statement: Provide contract provision(s) and frame the issue(s).
16. Undisputed Facts: List and attach all supporting documents. Use additional paper if necessary.
Attachments?
No
Yes Number ____
17. UNION’S full, detailed statement of disputed facts and contentions: List and attach all
Attachments?
No
Yes Number ____
supporting documents. Use additional paper if necessary.
18. MANAGEMENT’S full, detailed statement of disputed facts and contentions: List and attach all
Attachments?
No
Yes Number ____
supporting documents. Use additional paper if necessary.
19a. Union Representative: Enter the remedy requested by the union.
19b. Settlement Offer: List any settlement offers by either party on page 3.
20. Disposition (Check one)
Resolved
Withdrawn
Not Resolved
Date of Formal Step A Meeting
)
(MM/DD/YYYY
21a. USPS Representative’s Name
21b. Telephone No. (Include area code)
21c. USPS Representative’s Signature
21d. Date
(MM/DD/YYYY)
22a. NALC Representative’s Name
22b. Telephone No. (Include area code)
22c. NALC Representative’s Signature
22d. Date
(MM/DD/YYYY)
8190,
March 2016 (Page 1 of 3) PSN 7510-05-000-4168
PS Form
Date Received at Step B
(MM/DD/YYYY)
USPS-NALC Joint Step A Grievance Form
INFORMAL STEP A — NALC Shop Steward Completes This Section
(See instructions on page 2.)
1. Grievant’s Name (Last, first, middle initial)
2. Grievant’s Telephone No. (Include area code)
3. Seniority Date
4
Status (Check one)
5. Grievant’s Employee Identification Number (EIN)
(MM/DD/YYYY)
CCA
FT
FTF
PTR
PTF
6. District, Installation, Work Unit, ZIP Code®
7. Finance No.
8. NALC Branch No.
9. NALC Grievance No.
10. Incident Date
11. Date Discussed With Supervisor (Filing date)
(MM/DD/YYYY)
12a Companion MSPB Appeal?
Yes
No
12b. Companion EEO Appeal?
Yes
No
13a. Supervisor’s Printed Name, Initials, and Telephone No.
13b. Steward’s Printed Name, Initials, and Telephone No.
FORMAL STEP A — Formal Step A Parties Complete This Section
(See instructions on page 2.)
14. USPS Grievance No.: Obtain prior to Formal Step A meeting.
15. Issue Statement: Provide contract provision(s) and frame the issue(s).
16. Undisputed Facts: List and attach all supporting documents. Use additional paper if necessary.
Attachments?
No
Yes Number ____
17. UNION’S full, detailed statement of disputed facts and contentions: List and attach all
Attachments?
No
Yes Number ____
supporting documents. Use additional paper if necessary.
18. MANAGEMENT’S full, detailed statement of disputed facts and contentions: List and attach all
Attachments?
No
Yes Number ____
supporting documents. Use additional paper if necessary.
19a. Union Representative: Enter the remedy requested by the union.
19b. Settlement Offer: List any settlement offers by either party on page 3.
20. Disposition (Check one)
Resolved
Withdrawn
Not Resolved
Date of Formal Step A Meeting
)
(MM/DD/YYYY
21a. USPS Representative’s Name
21b. Telephone No. (Include area code)
21c. USPS Representative’s Signature
21d. Date
(MM/DD/YYYY)
22a. NALC Representative’s Name
22b. Telephone No. (Include area code)
22c. NALC Representative’s Signature
22d. Date
(MM/DD/YYYY)
8190,
March 2016 (Page 1 of 3) PSN 7510-05-000-4168
PS Form
Instructions
If the initial filing discussion between the steward (and/or employee) and the supervisor at Informal Step A does not resolve the
grievance, the union steward may appeal the grievance by:
Completing the Informal Step A section at the top of page 1;
Obtaining the supervisor’s initials in Item 13; and
Forwarding the form along with all relevant documents that were shared and discussed at the Informal Step A meeting to
union and management Formal Step A representatives within 7 days of the discussion.
INFORMAL STEP A — NALC Shop Steward Completes This Section
Item
Explanation
1–9
Self-explanatory. All items are essential.
10
Enter the date when the event causing the grievance occurred or when the employee or union first became aware
of the event.
11
Enter the date the employee and/or the union first discussed the grievance with the immediate supervisor at
Informal Step A. This is the Step A filing date.
12a
Determine whether the grievant has filed an MSPB appeal on the same issue. Indicate “yes” or “no.”
12b
Determine whether the grievant has filed an EEO appeal on the same issue. Indicate “yes” or “no.”
13a
To be completed by supervisor, whose printed name and initials confirm the date of the Informal Step A discussion.
13b
To be completed by steward, whose printed name and initials confirm the date of the Informal Step A discussion.
FORMAL STEP A — Formal Step A Parties Complete This Section
Item
Explanation
14
Management Representative: Obtain the Grievance Arbitration Tracking System (GATS) number before the
Formal Step A meeting. If necessary, call District Labor Relations for assistance. Record GATS number.
15
Frame the issue statement in the form of a question. For example:
Was there just cause for the letter of warning dated 7/15/2011 issued to the grievant for unsatisfactory
work performance, and if not, what is the appropriate remedy?
Did management violate Article 8.5.G when the grievant was required to work overtime on 8/15/2011,
and if so, what is the appropriate remedy?
List specific contractual or handbook provisions that apply to the grievance.
If discipline is involved:
Always indicate the type of discipline (letter of warning, 7-day suspension, indefinite suspension, etc.)
in the issue statement.
The union steward may write a suggested issue in Item 15 when appealing to Formal Step A. The parties at
Formal Step A are responsible for defining the issue as they see fit.
Note:
If the grievance is resolved at Formal Step A, skip to Item 20, note the principles of the agreement, and complete
items 21–22. If the grievance is not resolved at Formal Step A, complete Items 16 through 22.
16
Management and/or Union Representative: List all relevant facts not in dispute.
17
Union Representative: List any facts in dispute based on your understanding of the facts.
Provide concise, descriptive statements outlining the union’s position on the grievance.
18
Management Representative: List any facts in dispute based on your understanding of the facts.
Provide concise, descriptive statements outlining managements’ position on the grievance.
19a
Union Representative: Enter the remedy requested by the union.
19b
Management and/or Union Representative: On page 3, list any settlement offers made at Formal Step A.
20
Management and/or Union Representative: Note whether the case is resolved, withdrawn, or not resolved.
If resolved, note the principles of the agreement.
21–22
Formal Step A parties must enter names, telephone numbers, signatures, and date form is completed.
8190,
March 2016 (Page 2 of 3)
PS Form
USPS-NALC Joint Step A Grievance Form
FORMAL STEP A — Formal Step A Parties Complete This Section
19b. Management Settlement Offer (if any)
19b. Union Settlement Offer (if any)
Formal Step A Parties
Provide Mailing Address
USPS Formal Step A (Print street, city, state, and ZIP Code®)
NALC Formal Step A (Print street, city, state, and ZIP Code)
NOTE: If grievance ultimately goes to arbitration, this page MUST be removed from the file prior to submitting
the case to the arbitrator.
8190,
March 2016 (Page 3 of 3)
PS Form

Download PS Form 8190 USPS-Nalc Joint Step a Grievance Form

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