Gravity Forms Test Page - Seattle Fire Fighters Union, IAFF Local 27

Home › Gravity Forms Test Page

Contact Us

"*" indicates required fields

Local 27 Grievance Form

Please allow up to 5 days for response.

"*" indicates required fields

Date Event Occurred*

Grievance Type*

Your Name*

Email*

Contact Phone Number*

Assignment*

Location of where event occurred*

Station Rep*

Supervisor*

Charges or Contract Article violated*

Local 27 Political Action Volunteer Form

Thank you for your participation! Feel free to contact Local 27 with any questions. (206) 285-1271 or [email protected]

"*" indicates required fields

Meeting Fees and Expenses Voucher Calculation

Your Name(Required)

Your Phone Number(Required)

Your Email(Required)

Your Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Conference / Training Name(s)

Conference / Training Date(s)

Number of Conference / Training days to be paid

Day Meeting Name(s)

Meeting-Dates

Number of Day Meeting Fees to be paid

Reimbursement Mileage

Other Expenses (value)

Other Expenses (description)

Total

CAPTCHA

Safety Complaint Form

If this is an emergency complaint/concern, please contact the SFD Health & Safety Division immediately at 206-233-5154.

Your Name(Required)

Email(Required)

Assignment(Required)

Shift(Required)

Date you first noticed a problem(Required)

Phone(Required)

Have you discussed your safety concern/complaint with your Company Officer?(Required)

Yes

Officer's Name

Have you discussed your safety concern/complaint with your Company and/or Station Captain?(Required)

Yes

Captain's Name

Have you discussed your safety concern/complaint with your Battalion Chief?(Required)

Yes

Battalion Chief's Name

Have you discussed your safety concern/complaint with the Health & Safety Division?(Required)

Yes

Health & Safety Division Contact

Please describe in as much detail as possible how this is affecting Fire Department Safety(Required)

Recaptcha

Work Replacement Voucher

Your Name(Required)

Your Email(Required)

The address you would like your payments sent to(Required)

Street Address Address Line 2 City State ZIP Code

Who did you work for?(Required)

What meeting / event were they attending?

Date(s) of Work Replacement(Required)

Number of Hours worked(Required)

Your Pay Rate ($)(Required)

Total

CAPTCHA