Regional Secretary Treasurer

GRIEVANCE PRESENTATION
PRÉSENTATION DE GRIEF
UCCO-SACC-CSN
PROTECTED WHEN COMPLETED
PROTÉGÉ UNE FOIS REMPLI
SECTION 1 TO BE COMPLETED BY EMPLOYEE
À REMPLIR PAR L’EMPLOYÉ-E
SURNAME / NOM DE FAMILLE
REFERENCE NO / NO DE RÉFÉRENCE
PLEASE PRINT
EN LETTRES MOULÉES
TELEPHONE NO / NO TÉLÉPHONE
GIVEN NAMES / PRÉNOMS
HOME ADDRESS / ADRESSE DU DOMICILE
JOB CLASSIFICATION / CLASSIFICATION
A
Department of the Solicitor General of Canada
Ministère du Solliciteur Général du Canada
SECTION
Correctional Service of Canada
Service Correctionnel du Canada
WORK LOCATION / LIEU DE TRAVAIL
SHIFT / QUART DE TRAVAIL
DETAILS OF GRIEVANCE / DESCRIPTION DU GRIEF
B
I grieve that the employer’s refusal on or about
to grant me sick leave with pay is
contrary to the collective agreement. I grieve that this refusal is discriminatory and constitutes a failure to
accommodate based on prohibited grounds of discrimination contrary to the collective agreement and the
Canadian Human Rights Act.
CORRECTIVE ACTION REQUIRED
/ MESURES CORRECTIVES DEMANDÉES
I request that the employer’s decision be declared contrary to the collective agreement;
I request that all leaves that I have taken to compensate for the employer’s refusal be converted to sick
leave with pay;
I request an adjustment of my pension and CPP resulting of this measure if applicable;
I request that punitive and moral damages in accordance with the Canadian Human Rights Act and
Regulations for pain and suffering.
C
And all other rights that I have under the Collective Agreement and any other applicable legislations. As well as all real, moral or exemplary damages,
to be applied retroactively with legal interest without prejudice to other acquired rights.
et tous les autres droits que me donne la convention collective de travail et toutes autres législations, ainsi que tous dommages réels, moraux ou
exemplaires, et ce, rétroactivement avec intérêts au taux légal, sans préjudice aux autres droits dévolus.
________________________________________________________
SIGNATURE OF EMPLOYEE / SIGNATURE DE L’EMPLOYÉ-E
SECTION 2
DATE
TO BE COMPLETED BY UNION REPRESENTATIVE
À REMPLIR PAR LE REPRÉSENTANT SYNDICAL
_______________________________________________________________________________
SIGNATURE OF UNION REPRESENTATIVE / SIGNATURE DU REPRESENTANT-E SYNDICAL-E
TO BE COMPLETED BY THE MANAGEMENT REPRESENTATIVE
À REMPLIR PAR LE REPRÉSANTANT-E DE LA DIRECTION
TITLE OF MANAGEMENT REPRESENTATIVE / TITRE DU REPRÉSENTANT-E DE LA DIRECTION
DATE
SECTION 3
SIGNATURE
DATE RECEIVED
DATE DE RÉCEPTION
COPY
COPIE