GRIEVANCE FORM

LECTURER’S BARGAINING UNIT

Description of Grievance:

Date of Occurrence as defined in Article 15.31:

Articles in Question:

Remedy Sought:

Filing Date: ___________________________________ Grievant's Signature _________________________________________

UT-AAUP Representative

Original to Office of Faculty Labor Relations, Copy to UT -AA UP

If additional sheets need to be attached to the Grievance Form to provide additional space for description, remedies, explanations, or responses, please make reference to such attachments in the appropriate place on this form.

Date Received by Office of Faculty Labor Relations ___________________________________________

Sent to for hearing on

I (We) wish to appeal to the next step.

Signature of appellant Date

UT-AAUP Representative Date

Received by Office of Faculty Labor Relations

SENT TO: FOR HEARING ON:___________________________________

UT-AAUP Representative Date

I (We) wish to appeal to the next step

Signature of Appellant Date

UT-AAUP Representative Date

Received by Office of Faculty Labor Relations _____________

Sent to Provost for hearing on :

UT -AAUP wishes to appeal to the

Internal Arbitration Board (IAB) UT-AAUP Representative Date

Date Received by Office of Faculty Labor Relations Date

Board members named by President of University

Board members named by President of UT-AAUP

Date(s) of Internal Arbitration Board (IAB) hearing

The Internal Arbitration Board (IAB) Decision and Order shall be attached following this page.