Code of Conduct Report Form

Your Name*

First NameLast Name
Your Email*
example@example.com
Your Phone Number*
Please enter a valid phone number.
Employer*
Report
Full Name of Person who Violated the Code of Conduct*

First NameLast Name
Date of Incident*

MonthDayYear
Date
What happened?*
List the names and contact information for people who observed the incident.*
Did you or anyone else intervene in the moment? If so, please describe.*
Has anyone tried to address this issue since then? If so, please describe.*
When is a good time of day/day of the week for us to follow up with you?*
What is your preferred mode of contact?*

Phone callEmailText

Please Note: The Code of Conduct process is only applicable between members, and within union spaces (virtual or in person).

For issues between members and non-members, or for issues that didn't take place in a union space, we encourage you to reach out to your Organizer or to their direct Supervisor. For assistance making contact with them, call the Member Assistance Center at 1-844-503-SEIU (7348). Thank you!
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