Strike Pay Form (Form E)

Strike Pay Application Form (Form E)

To be eligible for strike benefits, a member must (a) complete and sign this Strike Pay Application form; (b) be employed as a Unit 1 or Unit 5 worker during the time of the strike; (c) participate in the strike by performing assigned strike duties; (d) be a member in good standing.
Full Name*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Email Address*
We advise against using your @mail.utoronto.ca email because it is the property of the employer.
Member ID*
Your Member ID can be found in the email entitled "Sign up for Strike Pay!"
Name as it should appear on a cheque (if different from above).

First NameLast Name
Picket duty information
For more information on Form E, shift accomodations, and alternate duties, please see this FAQ
Shift preference*

Morning shift (9AM-1PM)Afternoon shift (12PM-4PM)I am flexible/My availability is evenly split
Which campus is nearest to you or easiest to access?*

St. George CampusMississauga CampusScarborough Campus
Accommodation(s) requested?*

NoneRequest for alternate/modified duties (e.g. due to being unable to picket; covers access and disability-related needs)Request for accommodated shift scheduling (note: see FAQ for information, linked above in section header)Other
Are you interested in serving as a picket captain and/or helping prepare for strike action?
Declaration
I hereby make application for strike pay
For more information about Form E, shift accomodations and alternate duties, please see this FAQ
Should be Empty:

Strike Pay Application Form (Form E)

Picket duty information

Declaration