TECHNICAL UNIT

GRIEVANCE FORM

Department (Agency)	Grievance No. L-32-
Work Location	Work Telephone No.

This is a direct appeal to	Step 1	Step 2

NAME

CLASS AND LEVEL

EMPLOYEE I.D.

SHIFT

Employee’s statement of grievance:
A just and fair solution of my grievance is:
Grievant’s Signature	Date given Supervisor

Representative’s Name

United Technical Employees Assoc.
STEP 1 OFFICIAL’S ANSWER

Received

Signature	Date given Steward and Grievant
GRIEVANT’S NOTICE OF APPEAL TO THE NEXT STEP

This answer is not satisfactory. My reason for appealing is:

Grievant’s Signature	Date

Address	City	Zip
OSE/L32-1 (8/02) Department of Management and Budget	INSTRUCTIONS ON BACK

Attach additional sheets, if necessary.

L32-1

NOTE:	Type or Print (use ballpoint).

These directions are intended as a guide. Please refer to Article 9, Grievance Procedure.

WHO	DOES WHAT

Grievant	Fills out all of the information blanks at top of form, immediately above Step 1 Official’s answer.

Gives packet to Step 1 Supervisor.
Step 1 Supervisor	Initials form next to “date given supervisor” to indicate receipt of grievance, and gives GOLD copy to grievant.

Schedules and conducts Step 1 Conference in accordance with Agreement.

After Conference, writes answer in selection entitled “Step 1 Official’s Answer” in accordance with Agreement.
Distributes copies as follows:

1 copy to Association Representative

1 copy to Retains for File

2 copies to Grievant

Grievant	If not satisfied with Step 1 answer, completes section entitled “Grievant’s Notice of Appeal to the next Step.”

Forwards one copy to Step 2 official.

Retains one copy for files.

TECHNICAL UNIT

Jaime Abednego

2007-09-27

State Of Michigan