Grievance Ticket Submission Form Please fill this form out in its entirety using specifics and facts. This is the first part of the Grievance process. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Employee InformationEmployee Info 1Name *FirstLastDomicile *ANCBOIGEGMFRPAEPDXSEAEmployee Info 2Employee # *12345Pay Rate *Date of Hire *mm/dd/yyyyPhone # *Email (personal email only please, not company email.) *AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeGrievance InformationDescribe in detail the action/s giving rise to the grievance. Be as specific as possible so the AFA Grievance committee can determine the merit of a possible grievance. Please indicate if you have supporting documentation or attachment's. *LayoutInflight Supervisor Contacted *Date / Time of Supervisor Contact *DateTimeOutcome of Conversation with Supervisor *Article # *Page # in Contract. *Digital Signature and DateI hereby authorize the Association of Flight Attendants (AFA-CWA) and/or it’s representatives to act on my behalf in the disposition, discussion, and resolution of this grievance. Furthermore, as my representative, AFA-CWA is hereby granted full access to any and all confidential employee files, including but not limited to: Inflight Supervisor’s files and notes, confidential employee files, disciplinary notices or letters of reprimand, regardless of format (i.e. electronic or written) relevant to this complaint. Sign and Date:Full Name *first, lastDate *WebsiteSubmit