OPEIU Local 107 Grievance Form 
(Please print or type) (Download Microsoft Word Form)

Case Number: _______________________ Date: _______________________

Employer:  Bristow Group / Bristow US LLC / et al

Employee: _________________________________________________________

Employee Number: ______________________ Seniority Number: _____________

Base: ________________________________ Job Assignment: _______________

Supervisor: _________________________________________________________

I/We the Undersigned Claim That Management Has Violated the Collective Agreement As Follows.

 

 

 

I/We Therefore Request that The Following Correction Be Instituted:

 

 

 

Signature of Employee(s): _____________________________________

 

 

  

Signature of Steward or Other Union Official: _____________________________________

(complete six signed copies)
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