Local 189 Municipal Employees of Portland, Oregon

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Management not following the rules? Let us know!

Date *

Month

Day

Year

Bureau/Department *

Employee Name (First, Last) *

Employee Title / Classification *

Employee Work Phone *

Employee Home Phone *

Supervisor Name *

Supervisor Title / Classification *

Contract provision violated *

Manner in which the contract provision is claimed to have been violated *

Pertinent information: Who was involved? When did it occur? Where did it occur? *

Remedy sought? *

Name of who Filed Grievance *

Phone Number of who Filed Grievance *