The Union Hub ← Grievances & Cases

Product tour · design prototype — Demo – CUPE Local 79 · sample data, not the live app

CUPE Local 79

Municipal & Public Sector

Grievance Form

City of Riverbend

File No.

Date

Union office · 118 Riverbend Main St, Suite 4, Riverbend A1A 1A1
Tel (555) 018-0079 · Fax (555) 018-0080 · grievances@cupe79.example

Please complete every field clearly

Grievor

Name *

Employee No. *

Address

City

Postal Code

Home Phone No.

Work Phone No.

Bargaining Unit

Inside Workers

F/T P/T

Outside Workers

F/T P/T

Library & Clerical

F/T P/T

Reminder: the Grievance Fact Sheet must be attached before this form is submitted to the office.

Management & Union Contacts

Supervisor

Phone #

Assigned Steward

Phone #

Statement of Grievance

The grievor protests that violated the Riverbend Municipal Collective Agreement 2024–2027, Article , by issuing an unjust dated .

Full details of the grievance 0 characters

Redress Sought

That the discipline be rescinded and removed from the grievor's file.

Full compensation for any losses sustained.

Appropriate damages paid by the employer.

Any other redress deemed appropriate by a Board of Arbitration or Sole Arbitrator.

Other redress sought

Signatures

Steward / Duty Officer / Executive Officer

Grievor

For union office use only

Reviewed by

Date received

National Representative

Unit Officer / Chief Steward

The grievor must keep the CUPE Local 79 Grievance Office informed of any change of address, workplace, or telephone number. Failure to do so may delay or interfere with the processing of this grievance.

Form revised 06/2026 Printed by union labour