Get Statement Of Occurrence

The Statement Of Occurrence is an essential document for reporting relevant incidents in the workplace. This guide will help you understand each section of the form and provide step-by-step instructions for completing it online.

Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the document and open it in your preferred online editor.
2. Begin by filling in the Union number at the top of the form under 'Union #.' This identifies your local union, Local 2100.
3. Next, enter the Company number under 'Company #.' This should correspond to Verizon.
4. In the 'Name' field, provide your full name as it appears in official records.
5. Fill in your 'Address.' Be sure to include your street address, city, state, and zip code.
6. In the 'Work Location' section, state where you are employed, such as the specific office or site.
7. Complete the 'N.C.S. Date' section by entering the date relevant to your work situation.
8. Indicate your 'Line of Business,' specifying your department or area of work.
9. Input your job 'Title,' reflecting your official position within the company.
10. Provide your 'Work Telephone #' and 'Home Telephone #' so that management can contact you if needed.
11. Enter the name of your 'Supervisor' along with their phone number under 'Supervisor’s #.'
12. Fill in the 'Date of Occurrence' for the incident being reported.
13. Specify the 'Time/Shift' during which the incident occurred.
14. List the name of the 'Union Steward' associated with your case.
15. Complete the 'Date Steward Received' field to indicate when the steward was informed.
16. Record the 'Date Presented to Management,' indicating when the issue was brought to their attention.
17. Complete the 'Scheduled Time & Date,' reflecting any scheduled meetings regarding the incident.
18. In the main body of the form, clearly describe what happened during the incident. You may use additional sheets if necessary to provide a comprehensive account.
19. Patiently write your requested remedy for the incident in the 'Remedy Requested' section.
20. Finally, add your 'Members Signature' and the date you are completing the form.
21. Once you have finalized the form, remember to save your changes, and you can choose to download, print, or share the completed document as needed.

Complete your Statement Of Occurrence online today to ensure that your incident is promptly reported.