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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. YOU MUST ALSO DIRECTLY INFORM A MEMBER OF THE EXECUTIVE BOARD OR A SHIFT STEWARD OF YOUR POSSIBLE GRIEVANCE
Member Name
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Contact Phone Number
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Non VRFA Email Address
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Current Station Assignment:
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Select One
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Shift
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Date of occurrence
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Brief Description of Occurance
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Articles violated
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List all articles or documents violated
Witnesses to Occurence
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