1
Grievance Investigation Report
1. G RIEVOR:
Name of Grievor:
________________________________________________________________________
Department
_______________________________________________________________________
Home/email address:
________________________________________________________________________
Telephone No.:
________________________________________________________________________
Hiring Date:
_______________________________________________________________________
Job History:
_______________________________________________________________________
2. N
AME OF UNION REPRESENTATIVES:
Steward: ______________________________ Phone/email: _____________________
Staff Representative: _____________________ Phone/email: _____________________
3. S
TATEMENT OF GRIEVANCE REPRESENTATIVES:
Describe incident with details of what happened giving names, dates, places and
times:
________________________________________________________________________
________________________________________________________________________
State what was said by all those involved:
________________________________________________________________________
_______________________________________________________________________
Answer the questions who? what? where? why? when? want?
________________________________________________________________________
______________________________________________________________________