Employee Grievance

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Employee Grievance

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Employee Grievance

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  1. The University of Michigan Employee Grievance AFSCME Represented Employees Only Date Grievance No. Name UMID Department Department Head’s Name Immediate Supervisor Job Title Work Schedule from (am/pm) to (am/pm) Circle appropriate days: M TU W Th F Sa Su Employee’s Statement of Grievance (include facts, dates, provisions of the agreement violated and the remedy desired). Employee’s Signature Chief Steward’s Name Date Received by Department Head Department Head’s Decision Department Head’s Signature Date Given to Employee Copy to: Appropriate Human Resources Office District Steward Employee Chief Steward AFSCME Local 1583 Form 39606 - Rev. 06/01
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