US AIRWAYS PASSENGER SERVICE EMPLOYEES
LOCAL 3640
Name:
Phone(H)
Shift
Start Time?
Cell:
Date:
Bid Date:
Hire Date:
Is this Contractual or Disciplinary?
What is the Issue?
When did it happen?
How would you like to have this resolved?
Who have you spoken with about this issue?
Please list all Stewards, Supervisors, Managers, and other Employees.
Additional information:
Department:
Please complete the form below to help us determine the best way to help you. All information is confidential and is submitted directly to the Local.
It is important to include all data that is relevant to your case.
