Employee Assistance Request Form
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If you are a Title 32 dual-status (DS) technician or Title 5 employee of the National Guard and are in need of assistance, please fill out this form. A representative will contact you as soon as possible to discuss your concerns and your options.

DISCLAIMER

This form seeks information regarding your request for assistance. This is not a guarantee of representation. Representation is based on the merits of your case and not on membership status. In certain cases, non-members seeking representation may be required to enroll as dues-paying members prior to representation and/or may be responsible for some or all of the costs incurred by the Union during the course of representation.

Privacy Notice *
Information collected is for representational purposes and is not shared with any party or entity that does not have a need to know: http://www.local1776.org/liuna_ngc_local_1776_privacy_policy.html
Required
Membership Requirement *
The Union has the right to require membership for certain representational matters and cases including appeals of performance appraisals, after discipline has been proposed, for complaints of discrimination, and for appeals of adverse actions before third party arbiters like the Merits Systems Protection Board. Non-members may be required to join them Union prior to representation and may be responsible for some or all of the costs incurred by the Union during the course of representation to include paying 1-year's worth of membership dues.
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