Forms

Form

Description

Agenda Form (webform)

Use this form to add agenda items for Executive Board and General Membership meetings that do not require a motion. Please submit your agenda items by 8am the Friday preceding the relevant meeting (E-board or General membership meeting). Please also review the motion form to ensure that your agenda item does not require you to make a motion.

Complaint Form (webform)

Form used to file a formal complaint with our Union.

Form used to apply for the Emergency Fund. The Emergency Fund was established by members to assist fellow members going through hardship due to being laid off. More information about the Fund can be found on the form.

Form used to request reimbursement by the Union for expenses incurred due to Union business/activities.

 Grievance Form (PDF) (Word)

Form utilized to file a contract or personnel rule violation against Multnomah County.

Form you complete for the union to reimburse the County for members attending a union sponsored function during work hours (that does not include management or regular steward duties). Steward Training I & II are usually compensated if you go during regularly scheduled working hours. You will be paid and accrue all benefits by the County just as if you are at work but will code your time as Union Leave Reimbursable. Lost Time payments generally must be approved by the membership at a regular membership meeting via a motion and vote. If included in the annual budget, Steward training may be considered automatic union reimbursable time. The Lost Time Request process must be followed.

The process
(For CCC and TPI members, please consult with your Council Union Representative)

  1. Get lost time approved either by attending a lost time approved event or through a motion at a membership meeting.
  2. Request the time off from your supervisor/manager 2 weeks preferably (but not less than 5 working days) before the event.
  3. Once approved, fill out “lost time” request form.
  4. Fill out form completely, including confirmation your supervisor/manager has approved the time. Please keep the approval email in case proof is needed.
  5. The union will submit your lost time request to Labor Relations at least one week before the event.
  6. After attending the event you will code your time sheet with the time type, union leave reimbursable. This code means Union Reimbursement to the County for your wages and benefits.

Note: Time spent at union events is not reimbursable if it does not occur during your regularly scheduled hours. If you work a swing shift or graveyard shift and cannot report to work as it would be too many hours in a 24 hr period, please notify the Treasurer and President for special consideration. If you work on-call hours we request you try to arrange your schedule to avoid the union liability for your pay.

Motion Form (webform)

This form is used to submit motions at the general membership meeting and the executive board meeting. Motions are a request brought forward by members in good standing that they would like for the local union to consider, adopt, or implement. Please submit your motion items by 8am the Friday preceding the relevant meeting (E-board or General membership meeting).

Form used to apply to become a steward after completing the Steward Training (I & II).

W4 Form used for tax purposes for Officers, Staff, and Stewards.

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