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Grievance Notification
Report any possible grievance issue.
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Grievance Notification
Fill out and submit this form to report any possible grievance issue. A member of the Grievance Committee will contact you for follow up.
Member Name
*
Contact Phone Number
*
Non City Email Address
*
Current assignment:
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Select One
Shop
Prevention
Floater
1
2
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4
5
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8
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Other
Shift
*
Select One
A
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C
40 hour
Date of occurrence
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Brief Description of Occurance
*
Articles violated
*
List all articles or documents violated
Witnesses to Occurence
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