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August 12, 2020
Statement of Occurrence

**TIME SENSITIVE**
♦ I ACKNOWLEGE BY SUBMITTING THIS STATEMENT OF OCCURRENCE THAT I AM RESPONSIBLE FOR NOTIFYING CWA, LOCAL 2201 OF ANY CHANGES IN MY CONTACT INFORMATION.
♦ FROM THE "DATE OF THE OCCURRENCE", YOU HAVE 30 DAYS TO FILE A GRIEVANCE

Incomplete forms may delay the grievance process. If you need help with filling out the form please contact the local at (804)266-2201. 

Team Leader:
Manager:
Director:
Grievants Name:
Last (4) SSN:
Home Address:
City, State, Zip
Personal Email
Personal Phone
Work Location
WHAT:  The following is a Statement of "What Happened"
WHEN:  Date of Occurrence
WHY:  Why is it wrong?
REMEDY:
Additional Information:
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Upcoming Events
Retirees Chapter
Aug 12, 2020
November and June Meetings are at Restaurants and NO meetings in July & August
General Membership Meeting - Central
Aug 20, 2020
LOCAL, 5809 LAKESIDE AVENUE, RICHMOND, VIRGINIA
Executive Board Meeting
Sep 03, 2020
EAST/FRED Job Steward Meeting
Sep 08, 2020
Roma's Pizza
CDS/DEX Media Job Steward Meeting
Sep 08, 2020
Richmond Local
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