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 present it to your steward for an investigation to begin. If you are unable to print it, you can save your statement and email it to your steward so they can print it. 

 

Contact information for every steward can be found on the 'Officers and Stewards' page.  Click HERE to be redirected to that page.

 

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

 

 

This form can be downloaded and completed. It is a PDF fillable form. Please fill it out and get it to your steward immediately. This format is used for a single page statement.
Statement - 2025 - Generic Form - Fillab[...]
Adobe Acrobat document [137.5 KB]
This form can be downloaded and completed. It is a PDF fillable form. Please fill it out and get it to your steward immediately. This format is used for multiple page statement.
Statement - 2025 - Generic Form - Multip[...]
Adobe Acrobat document [155.1 KB]

Where to Find Us:

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

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