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Get USPS PS 8191 2007-2021

Signature of Installation Head or Designee and Telephone No. PS Form 8191 March 2007 Instructions Item Explanation 1a. Self-explanatory. USPS-NRLCA Joint Step 1 Grievance Form 1a* Grievant s Name Last first middle initial 1b. Grievant s EIN Employee Identification Number 1c* Grievant s Title Designation Code and Route No* 1d. Telephone No* Include area code 1e. Grievant s Mailing Address 2a* Post Office 2b. Branch/Station 2c* Telephone No* Include area code 3a* Date of Incident 3b. Date of Step 1 Discussion with Supervisor Filing date 3c* Was Grievance Timely Explain 4. Issue Complaint 5. Contract Provisions Articles at issue 6. Full Detailed Statement of Undisputed Facts Attachments as necessary 7. Management s Full Detailed Statement of Disputed Facts Attachments as necessary 8. Management Contentions 9. Union s Full Detailed Statement of Disputed Facts Attachments as necessary 10. Union Contentions 11. Remedy Sought by the Union 12a* Disposition Check one 12b. Date of Disposition Settled Denied Withdrawn Sustained Other Specify 13. 1b. Enter Grievant s Employee Identification Number EIN. Do not enter SSN* 1c* 1d. 1e. 2a* 2b. 2c* 3a* Enter the date when the event causing the grievance occurred or when the employee or union first became aware of the event. 3b. 3c* Indicate if time limits have been extended in the space designated Explain. A timely grievance is one that does not exceed 14 days between item 3a and 3b unless the parties have extended time limits. Enter a statement in the form of a question* Examples Was there just cause for the letter of warning dated 2/15/96 issued to the grievant for unsatisfactory work performance Did management violate Article 30. 2. G when the grievant was denied the auxiliary route assignment on 2/15/96 Manager and/or Steward Annotate any contractual or handbook provisions involved in the grievance. List all relevant facts not in dispute. Manager List any facts in dispute based on your understanding of the facts. Provide concise descriptive statements to support management s position and reason for denying the grievance. Steward Provide a specific statement of the remedy the union is requesting. Do not list any settlement offers on this form* Check the appropriate box. USPS-NRLCA Joint Step 1 Grievance Form 1a* Grievant s Name Last first middle initial 1b. Grievant s EIN Employee Identification Number 1c* Grievant s Title Designation Code and Route No* 1d. Telephone No* Include area code 1e. Grievant s Mailing Address 2a* Post Office 2b. Branch/Station 2c* Telephone No* Include area code 3a* Date of Incident 3b. Telephone No* Include area code 1e. Grievant s Mailing Address 2a* Post Office 2b. Branch/Station 2c* Telephone No* Include area code 3a* Date of Incident 3b. Date of Step 1 Discussion with Supervisor Filing date 3c* Was Grievance Timely Explain 4. Issue Complaint 5. Date of Step 1 Discussion with Supervisor Filing date 3c* Was Grievance Timely Explain 4. Issue Complaint 5. Contract Provisions Articles at issue 6. Full Detailed Statement of Undisputed Facts Attachments as necessary 7. .

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