Grievance Ticket Submission
Please fill this form out in its entirety using specifics and facts. This is the first part of the Grievance process.
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Employee Information

Name
12345
mm/dd/yyyy
Address

Grievance Information

Date / Time of Supervisor Contact

Digital Signature and Date

I 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:
first, last