Sample Association Grievance File
Grievance # ______________________________________ ____________________________ School District
Building Assignment Name of Grievant Date Filed
AR Handbook – 39
Step 1
A. Date Cause of Grievance Occurred
_____________________________________________
_____________________________________________
_____________________________________________
B. 1 State of Grievance
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
2 Relief Sought
_____________________________________________
_____________________________________________
_____________________________________________
(If more space is needed for Sections B1 & 2, attach an additional sheet.)
C. Disposition by Principal or Immediate Superior
_____________________________________________
_____________________________________________
_____________________________________________
D. Position of Grievant and/or Association
_____________________________________________
_____________________________________________
_____________________________________________
Step 2
A. Date Received by Superintendent/Designee
_____________________________________________
_____________________________________________
_____________________________________________
B. Disposition of Superintendent or Designee
_____________________________________________
_____________________________________________
C. Position of Grievant and/or Association
_____________________________________________
_____________________________________________
_____________________________________________
Step 3
A. Date Submitted to Arbitration
_____________________________________________
_____________________________________________
B. Disposition & Award of Arbitrator
_____________________________________________
_____________________________________________
Notes
_____________________________________________
_____________________________________________
_____________________________________________
Serving You
NJEA, as your professional organization, stands ready to help you and every other New Jersey school
employee maintain and improve your status. Do you need advice, information, or NJEA at your side?
Contact your local president who will put you in touch with direct assistance from your personal and