Code of Conduct Report Form

Your Name

First NameLast Name
Your Email
example@example.com
Your Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Employer
Report
Full Name of Person who Violated the Code of Conduct

First NameLast Name
Date of Incident

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
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?

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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