CWA / New Flyer USA Grievance Form

Grievance Number:

Date of Occurrence:

Statement of grievance:

Proposed Resolution:

Union Representative Date

Company’s Disposition, Step 1 : Date of Meeting :

Union (circle one)

Accepts Rejects Appeals

_____________________________ _________________________

Company Representative Date Union Representative Date

Company Disposition, Step 2 : Date of Meeting :

Union (circle one)

Accepts Rejects Intends to Arbitrate

____________________________ _________________________

Company Representative Date Union Representative Date