UFCW UNION LOCAL 324
8530 STANTON AVENUE · BOX 5004 · BUENA PARK CA 90622
(714) 995 - 4601 · (800) 244 - UFCW


CVS MEMBERS

(PRINT THREE COPIES · STORE MANAGEMENT - MEMBER - UNION REPRESENTATIVE)


SENIORITY GRIEVANCE

In accordance with Article 6-F-3 of the current Collective Bargaining Agreement, I hereby notify my employer that I have a grievance pertaining to the application of my seniority rights.

Member Name: ____________________________________________________________________________

Member Social Security #: __________________________   Contact Phone #: _________________________

Job Classification: ______________________  "Available" or "Self-Restricted" List: ______________________

Employer Name and Location: ______________________________  Emp. Phone #: _____________________

Date and Time Filed: ___________________________________  Filed With: ___________________________


NATURE of GRIEVANCE

_____   * Claim of schedule with more hours.
            Name of least senior employee with more hours: ___________________________________________

_____   * Improper reduction in scheduled hours of work. (all employees)

_____   Improper layoff -- not according to seniority. (all employees)

_____   Improper transfer. (all employees)



_____________________________________________
Member Signature


* These claims must be made (filed with store management) no later than the end of the first (1st) shift of the Friday following any Wednesday scheduled posting. After filing your claim with management, leave a voice mail message to notify your Union Representative if or not you made your claim successfully. Then either drop-off at the Union Office or mail your Union Representative's printed copy.