Statement / Violation Form

If you feel there was a violation of the National Agreement or the LMOU for your office, please complete this form and it will be forwarded to your steward for an investigation to begin.

Please report this immediately. Grievances must be filed within 14 days from the date of incident following Article 15 of the National Agreement.

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Statement / Violation Form

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Name: *

Office: *

Date/Time of Violation: *

E-mail address: *

Phone Number: *

Witnesses:

Please describe incident and/or violation in detail: *

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Where to Find Us:

NALC Branch 324
2525 W 16th St
Suite F
Greeley, CO 80634

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