Contract and Forms

Printable Forms

Here you will find links to several commonly used forms that Unit Reps and members might find useful. The forms may be downloaded, saved to your hard drive, and printed whenever needed. Note: Forms are available in Microsoft Word (.doc) format.  Click on the appropriate link to open or download.

• Grievance Fact Sheet 2023 Fillable Form.
  • Complete this form to report detailed information to the Union in a timely manner. FAX from hospital 9-831-3677 (no area code)
  • Use Google Drive if you want to complete use your Iphone.
    • Download Google Drive App
    • Save the pdf  and save on  Google Drive
    • Tap on the pdf. tap on ‘fill in form’ and proceed to complete. tap done and save (top R)
• Unsafe Staffing Form (to print)    
• NEW – UNSAFE STAFFING: FILLABLE FORM  (Adobe may be needed)
  note: fillable form may be emailed to [email protected]
• FAX COPY to UNAP:  831-3677   Hand original to your Supervisor
  
• Insufficient Staffing Form (for Care Managers only)  Link updated on 9/30/2019
• Dues Deduction Form  FAX TO 831-3677
• Unit Rep Nomination Form
• Change of Address Form
• Humanitarian Leave Form (new! 2019)

MEMORANDA OF AGREEMENT (MOA’s)

From time to time, the Union and the Hospital enter into Memoranda of Agreement (MOA) to clarify the contract, address new issues, or settle grievances.  Below are links to some MOAs that are currently in effect:

• Use of partial sick leave while on a leave of absence