Marius Scheepers and Company
Attorneys
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Form S - Grievance Procedure Form
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To : __________________________________________________________ STEP 1 - PART 1(To be completed by the employee) Name and surname : ____________________________________________ Designation :___________________________________________________ Company No : ______________ Nature of grievance ________________________________________________________________ ________________________________________________________________ (Documents in support may be attached hereto). Desired solution : ________________________________________________________________ ________________________________________________________________ Signed :
Date : ___________ Time : _______ Date received by Supervisor :___________ Time : _____ Designation : ___________________________________________________ STEP 1 - PART 2Decision : _____________________________________________________ Grievance resolved, partially resolved or unresolved. Signed : 1. Supervisor : _____________________________________ 2. Employee : ____________________________________ STEP 1 - PART 3(To be completed by employee) I have taken cognisance of the decision as described in Part 2. Signed :____________________ Date : ____________ STEP 2 - PART 1(To be completed by the employee) Name and surname : _____________________________________________ Designation : ___________________________________________________ Company No : ______________ Nature of grievance _________________________________________________________________ _________________________________________________________________ (Documents in support may be attached hereto). Desired solution : _________________________________________________________________ _________________________________________________________________ Signed :
Date : ________________ Time : ________________ Date received by Supervisor :____________________ Time : ___________ Designation : ___________________________________________________ STEP 2 - PART 2Decision : ______________________________________________________ Grievance resolved, partially resolved or unresolved. Signed : 1. Supervisor :______________________________________ 2. Employee : _____________________________________ STEP 2 - PART 3(To be completed by employee) I have taken cognisance of the decision as described in Part 2. Signed : ____________________________ Date : ____________ STEP 3 - PART 1(To be completed by the employee) Name and surname : _____________________________________________ Designation :____________________________________________________ Company No : ___________ Nature of grievance _________________________________________________________________ _________________________________________________________________ (Documents in support may be attached hereto). Desired solution : _________________________________________________________________ _________________________________________________________________ Signed :
Date : ____________ Time : _______ Date received by Supervisor : ___________________ Time : _____ Designation : __________________________________________________ STEP 3 - PART 2Decision : _____________________________________________________ Grievance resolved, partially resolved or unresolved. Signed : 1. Supervisor :_____________________________________ 2. Employee : ____________________________________ STEP 3 - PART 3(To be completed by employee) I have taken cognisance of the decision as described in Part 2. Signed :___________________________ Date : ____________ |
Compiled by M. Scheepers
This manual is copyright under the Berne Convention. In terms of the Copyright Act, No. 98 of 1978, no part of this manual may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording or by any information storage and retrieval system, without permission in writing from the author.
