Use this form to file a formal grievance through the USFFA.
Download this file as a Word Document HERE.
University of San Francisco
Level of Filing (check relevant step)
Step 1 _____ Step 2 _______
Name of College ______________________
Answer all questions below completely. Attach additional sheets if necessary.
l. What provision(s) of the Agreement were violated?
2. 0n what date did the alleged contract violation occur?
3. Provide a detailed description of the grounds of the grievance including alleged contract violation, how the grievant was harmed and all relevant information necessary for a complete understanding.
4. Was this grievance discussed with the Dean/Librarian?
Yes ____ no ____ date _______________________________
5. State the proposed remedy as concisely as possible.
I understand that a grievance must be clearly and concisely stated on this form. The contents of this form are accurate and true. Grievance forms not properly completed, as set forth in the grievance article, may not be accepted by the University.
Grievant’s signature ______________________________
Date of submission ________________________________
Place of submission ________________________________
Representative’s signature __________________________