CAPS-UAW Workplace Issue Reporting Form

CAPS-UAW Workplace Issue Reporting Form

We, the workers must actively enforce our rights and our union contract in our workplace to implement and maintain the gains won! Please fill out this form if you think you are experiencing violations of your rights – a peer union representative will follow up with you about potential next steps.
Name*

First NameLast Name
Where do you work?
Personal Phone*
Please enter a valid phone number.Format: (000) 000-0000.
Personal Email*
example@example.com
Work Email*
example@example.ca.gov
City of your workplace reporting location *
Your union district*
Not sure what union district you are part of? Click here to look up your district.
Work Address*
I am a *
Please select the area in which you may be experiencing violations of your rights*
Please provide a brief description of the issue you are experiencing:*

Briefly describe your issue in 150 or fewer words.0/150
Yes
Should be Empty: