Direct Care Workers, are you being paid what you should? We can help!
The new minimum wage for care workers is $15.75 across the state and $18.29 if you are living in Denver.

Fill out the survey below so we can help you get paid what you are owed!
Sign in to Google to save your progress. Learn more
First Name *
Last Name *
Cell Phone Number *
Email Address
*
Are you a Direct Care Worker?
*
Do you work in Denver?
*
Are you being paid less than the minimum wage for Direct Care Workers ($15.75 across Colorado, $18.29 in Denver)?
*
What is the name of your Employer or Agency? 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of SEIU Local 105.

Does this form look suspicious? Report