CSEA Incident Inquiry Form

Instructions: Completely fill out the following form and hit "submit."  A Captcha is required (last question on the form) prior to submitting to prevent erroneous submissions.  
Once submitted, the CSEA Grievance Committee will review the information and make a recommendation to the Executive team.  At that point you will be contacted to
discuss next steps for seeking a remedy to the incident.

* Your Name:

* Today's Date:

* Description of Incident (please include the date and time of the occurrence):

* Indicate Which Contract Item is in Violation (please provide the Article, Section and page number):

* Indicate What Would Resolve this Issue for You:

Please enter the Captcha so we know a person is submitting this form: