Teamsters Local 120 UPS Grievance Form

Grievant Name(Required)

Email(Required)

Address(Required)

Street Address City ZIP Code

Phone Number(Required)

Position(Required)

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Seniority Date PT

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Seniority Date FT

Current pay rate(Required)

Employer/Location(Required)

Contract articles violated(Required)

Brief description(Required)

Requested remedy(Required)

Grievant’s signature(Required)

Date(Required)

Management Signature(Required)

Date(Required)

Email to shazen@teamsterslocal120.org or mail to 105 N Conklin Sioux falls 57103 or FAX 605-336-7504