APWU Step 2 Grievance Appeal Form
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American Postal Workers Union, AFL-CIO
STEP 2 GRIEVANCE APPEAL FORM
DISCIPLINE (NATURE OF) OR CONTRACT (ISSUE)
1
TO USPS STEP 2 DESIGNEE (NAME AND TITLE)
2
CRAFT
DATE
INSTALLATION / SEC. CEN./ BMC
LOCAL GRIEVANCE
#
USPS GRIEVANCE
#
PHONE
FROM: LOCAL UNION (NAME OF)
3
ADDRESS
CITY
STATE
ZIP
STEP 2 AUTHORIZED UNION REP. (NAME AND TITLE)
4
LOCAL UNION PRESIDENT
5
AREA CODE AREA CODE
PHONE (OFFICE) PHONE (OFFICE)
AREA CODE AREA CODE
PHONE (OTHER) PHONE (OTHER)
WHERE - WHEN S T E P 1 M E E T I N G & D E C I S I O N MET WITH
6 UNIT/SEC/BR/STA/OFC
DATE/TIME
USPS REP - SUPR
GRIEVANT AND/OR STEWARD
STEP 1 DECISION BY (NAME AND TITLE)
7
GRIEVANT PERSON OR UNION (Last Name First)
8
ADDRESS
DATE AND TIME CITY
INITIALS
STATE
ZIP
INITIALING ONLY VERIFIES
DATE OF DECISION
PHONE
9 SOCIAL SECURITY NO.
SERVICE SENIORITY/CRAFT
STATUS LEVEL STEP DUTY HOURS
10 JOB#/PAY LOCATION/ (UNIT/SEC/BR/STA/OFC)
WORK LOCATION CITY AND ZIP CODE
OFF DAYS SAT SUN
MON TUE
LIFETIME SECURITY
Yes No
WED THU FRI VETERAN
Yes No
11 Pursuant to Article 15 of the National Agreement we hereby appeal to Step 2 the following Grievance alleging a Violation of (but not limited to) the following: NATIONAL, (Art./Sec.)
LOCAL MEMO (ART./SEC.) OTHER MANUALS, POLICIES, L/M MINUTES, ETC.
12 DETAILED STATEMENT OF FACTS/CONTENTIONS OF THE GRIEVANT
List of attached papers as identified
13 CORRECTIVE ACTION REQUESTED
SIGNATURE AND TITLE OF AUTHORIZED UNION REP
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