Common use of Record of Action Clause in Contracts

Record of Action. [ ] This action/information satisfies my request/concern. [ ] This meeting satisfies Step 1, 12.2 Grievance Steps of the CBA Employee Signature Date Instructions: If the issue identified in Step 1 is not resolved to the employee’s satisfaction within (5) working days, the employee shall complete and submit this form within ten (10) working days to his/her immediate supervisor with copy to Human Resources office. Grievant Name* Location *Attach a list of names if more than one grievant, including the signature of each of the grievants. Job Title Name of Immediate Supervisor Date of Grievable Act Date Grievance is submitted to HR