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    Master Agreement
  • Request for Assistance

    AFGE

    LOCAL 507

    EMPLOYEE REQUEST FOR ASSISTANCE

     

    Printed Name

    Date                                

    Yes / No  Member?

       


    Job: Title/Position                 Service/Unit/Section Ext.              

    Tour of Duty Cell#


    Supervisor Name

    Please describe your issue or problem below.

    How would you like to see this resolved?

    I authorize AFGE Local 507 to investigate this matter on my behalf.

    Employee signature

    If a grievance is needed on this matter, I (DO / I DO NOT) authorize AFGE Local 507 to file a grievance on my behalf.

    Employee signature

    **Please provide AFGE with copies of all pertinent documents and paperwork relating to your issue. **

     

    Receiving Union Official

    Steward Assignment:

    Professional__________ Non-professional_________________

    By:

    Disposition/Outcome:

     

     

    AMERICAN FEDERATION OF GOVERNMENT EMPLOYEES

    LOCAL 507

    AFFILIATED WITH AFL-CIO

    P.O. BOX 10822

    RIVIERA BEACH, FLORIDA 33419

    AUTHORIZATION FOR RELEASE OF INFORMATION

    I am giving my authorization to AFGE to obtain copies of any and all pertinent information required from any and all my files which contains my name, and social security number. Authorization includes but not limited to my OPF, evidence file, drop files, supervisory files,

    workers compensation, MIA, payroll or other (specify)________________

    Employee Name______________________________________________________

    Employee Signature_________________________________ Date:______________

    AFGE Steward Signature____________________________ Date:______________



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    Request for assistance
    03/24/2020 - 0.06MB

  • AFGE Local 507

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