International Union-Local 348
Kansas City, Kansas

GRIEVANCE FACT SHEET

This Grievance fact sheet is designed to assist Stewards and Local officers handle
grievance more effectively.

The completed Fact sheet should be attached to the Union's copy (and only the
Union copy) of the grievance.

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It will provide the Union with a complete written history of the case including a
record of what the grievance is about and what happened to it as it proceeded through the
various steps of the grievance procedure. It includes four parts:

1. The griever's story;

2. The witness' statements;

3. The employer's contention; and

  1. The grievance meeting.

The Fact Sheet is an important document and should be completed with care and accuracy. It will help us remember details, which may otherwise be overlooked or forgotten. It is very important that dates, times, statements, and references are not changed once established as facts.

Copies of all documentary evidence (such as seniority lists, wage schedules, record of similar grievances, etc.) and all correspondence or other materials involved should be attached.

This packet contains:

Reduction of Grievance to Writing
Grievance Report

Finally, it is very important to note that the Grievance Fact sheet is for the

UNION ONLY!

GRIEVANCE FACT SHEET

FOR THE UNION ONLY! To be filled out by the Steward and attached to theUNION
COPY ONLY of the grievance. Attach all documentary evidence such as seniority list,
wage schedules, record of similar grievances, etc. It is very import that dates, times,
statements, and references are not changed once established as facts.PLEASE PRINT,

USW Local 348 Grievance No.______
Prepared by Telephone ______
Date grievance reported Is it within time limits? ______

WHO IS INVOLVED IN THE GRIEVANCE?

GRIEVER

Name ______Telephone______
Department ______Shift ______
Classification ______Wage Rate ______
Seniority Date______

SUPERVISOR OR OTHER MANAGEMENT INVOLVED

Name ______Department ______
Title ______
Name ______Department ______
Title ______

WHAT HAPPENED? WHAT IS THE GRIEVANCE ABOUT?

Make sure to include all points on the checklist before the grievance is looked at.

Attach additional pages if needed to cover all events.

WHEN DID THE GRIEVANCE OCCUR?

Date(s) ______Time ______
How Often? ______How long?______

WHERE DID THE GRIEVANCE OCCUR?

Exact location - department, unit, etc.

WHY IS THIS CONSIDERED TO BE A GRIEVANCE?

Violation of the Articles of Agreement, article____? supplement? law? Past
practice? Safety regulation? Rulings or awards? Unjust treatment?

WANT - GRIEVANCE SETTLED & FULL REGRESS

What corrective action is requested to settle the grievance and provide full

regress? See tips on grievance investigation for vocabulary for grievance writing

WITNESSES OR OTHER PERSONS INVOLVED

Name ______Telephone ______
Department ______Classification ______
Name ______Telephone ______
Department ______Classification ______
Name ______Telephone ______
Department ______Classification ______

SIGNATURES

______

Signature of GrieverSignature of Steward

WITNESS STATEMENTS

Print the name of each witness followed by a summary of what each saw and heard. Get
a signed statement.

NAME OF WITNESS ______

Department Classification Telephone
Date Signed
Signature of Witness

STEP 1

Date Management level
People present
Employer Response / Notes
Outcome

STEP 2

Date Management level
People present
Employer Response / Notes
Outcome

STEP 3

Date Management level
People present
Employer Response / Notes
Outcome

STEP 4

Date Management level
People present
Employer Response / Notes
Outcome