Pacific National Bulk and Coal Protected Action Pay Survey
This information is needed to determine what options are available to pursue the issues members are reporting with payment after industrial action.
NSW Locomotive Division
Full Name *
Your answer
Depot *
Your answer
Mobile
Your answer
Email
Your answer
Membership Number
Your answer
What Agreement are you currently covered by *
What type of roster do you work to? *
What were you rostered to work on the 21st October?
Your answer
How many hours pay has been deducted for the 21st October?
Your answer
What were you rostered to work on the 22nd October?
Your answer
How many hours pay has been deducted for the 22nd October?
Your answer
What were you rostered to work on the 23rd October?
Your answer
How many hours pay has been deducted for the 23rd October?
Your answer
What were you rostered to work on the 28th October?
Your answer
How many hours pay was deducted for the 28th October?
Your answer
What were you rostered to work on the 29th October?
Your answer
How many hours pay has been deducted for the 29th October?
Your answer
What were you rostered to work on the 30th October?
Your answer
How many hours pay has been deducted for the 30th October?
Your answer
How many hours have you worked for the month excluding the shifts where protected action took place?
Your answer
Other comments?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms