Get Statement Of Occurrence - Local 3112 - Cwa3112

Filling out the STATEMENT OF OCCURRENCE form is essential for addressing grievances effectively. This guide will walk you through each component of the form, ensuring a smooth online completion process.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to access the form and open it in your document editor.
2. Begin by entering your personal information in the designated fields. Fill in your name, employee ID number, and address accurately.
3. Next, provide your pay rate, work location, and seniority date. Ensure the details are current and reflect your employment status.
4. Complete the telephone number sections for both your work and home numbers. This helps in contacting you regarding your grievance.
5. Fill out your department and job title. This information is critical for identifying your role within the organization.
6. Enter your supervisor’s name and their contact phone number. This will facilitate communication regarding the grievance.
7. In the statement of facts section, detail the circumstances surrounding your grievance. Clearly outline what occurred, including dates and any relevant actions violating the working agreement.
8. If necessary, use additional pages to continue your statement. Be comprehensive yet concise to ensure clarity.
9. After completing your statement, sign and date the form in the section marked for the grievant's signature. This affirmatively submits your statement.
10. For the release of personal and/or medical records section, grant permission as necessary, signing and dating here as well, if applicable.
11. Finally, review all the information you provided for accuracy. Once satisfied, save your changes. You can export the form, print it, or share it as required.

Complete your grievance process by filling out the form online today.