Grievance Form Grievance Submission FormPlease fill this form out in its entirety using specifics and facts. Please enable JavaScript in your browser to complete this form.Employee InformationName *FirstLastDomicile *BOIGEGMFRPAEPDXSEAANCEmployee # *12345Date of Hire *mm/dd/yyyyPay Rate *Phone # *Email (Personal email only please. Do not use 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. *Inflight 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 *EmailSubmit