COVID Pay Issue

If you took COVID sick time during 2022 and either were not paid, or were paid more than one pay period after your request, your company has committed WAGE THEFT. Please fill out the below survey as USWW is aggressively investigating and has an active grievance against the company on this issue.
MemberID
Firstname*
Lastname*
Email*
example@example.com
Company*
Mobile Number*
Please enter a valid phone number.
Primary Worksite Address*
Did you request COVID sick hours during 2022?*

YesNo
Did you receive the requested COVID sick pay in the pay period immediately following your request?*

YesNo
To date, have received your full COVID Sick Time Pay?*

YesNo
How many hours did you request? *
On what date did you request the hours?*

MonthDayYear
Date
On what date were you paid?

MonthDayYear
Date
Do you have documentation of your request, eg COVID pay request form/screenshot of text to manager/email request*

YesNo
If you have documentation, please upload it using "File Upload" below. This can include screenshots, pictures of your documentation, or PDFs.

You can also forward any emails regarding COVID pay requests to the following Union-managed email address: covid.pay.investigation@seiu-usww.org
File Upload

Cancelof
Should be Empty: