0
Shopping Cart
Home
About Us
Executive Board
Breast Cancer Awareness
Team Stevens Nation
Photo Gallery
Current Bulletins
EMS Committee
EMS Committee Bullets
EMS Committee Members
PAC
PAC Bullet Points
Weekly Report
Weekly Report Archive
Government & Community Leaders
Community Services
Personal Exposure Reporting
Find Your Fire Stations
Contact Us
COVID-19
Peer Support
UFLAC Center for Health and Wellness
Peer Support Roster
Peer Support Team Roster Photos
Suicide Prevention
COVID-19 Mental Wellness
Peer Support Videos
2020 Peer Support Training Calendar
IAFF Behavioral Health Awareness Course
Useful Peer Support Articles & Info
Useful Behavioral Healths Apps
Peer Support Team Ventura
EAP
UFLAC Center for Health and Wellness
EAP Services
Catastrophic Illness Leave Donation Program
Fire Strong Website
Warning Signs
Chemical Dependency Information & Treatment
Marriage/Couples Counseling
Individual Counseling
Grief & Loss Counseling
Stress Management
Financial Management Education & Referrals
Eldercare Issues
Legal Referrals
Pamphlets/Printed Material
Benefits
2021 Benefits Guide
UFLAC Long Term Disability Plan Clarifications
Comprehensive Medical Exam
Gym Membership
Enroll Now
UFLAC Medical Plans
2021 Open Enrollment
IAFF Burn Injury Assistance
UFLAC Fire Foundation
MOU
Login
Menu
Grievance Notification
Report any possible grievance issue.
If you are human, leave this field blank.
Grievance Notification
Fill out and submit this form to report any possible grievance issue. A member of the Grievance Committee will contact you for follow up.
Member Name
*
Contact Phone Number
*
Non City Email Address
*
Current assignment:
*
Select One
Shop
Prevention
Floater
1
2
3
4
5
6
7
8
9
10
11
12
Other
Shift
*
Select One
A
B
C
40 hour
Date of occurrence
*
Brief Description of Occurance
*
Articles violated
*
List all articles or documents violated
Witnesses to Occurence
*
reCAPTCHA is required.
Submit
Scroll to top
