About this Form
Form number: 430-40
Audience: SEIU Members
Last revised: October 2008
INSTRUCTIONS: Please return this original grievance form and administrator’s response to grievance by U.S. Mail or Pony to the Union at SEIU Local 500, 901Russell Avenue, Suite 300, Gaithersburg, MD 20879. A copy should be kept for your files, a copy given/sent to the grievant, and a copy sent to MCPS Department of Association Relations, CESC, Room 204, via Pony.
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