UAW GAMING INCIDENT REPORT
We, the UAW Gaming Union, want to know how you feel at work and what's going on at your job site.  If your floor supervisor, manager, or executive makes you feel targeted, harassed, or uncomfortable, please tell us below.

Fill out this online UAW Gaming Incident Report.  This is your documentation and protection against a situation that may escalate and negatively reflect on your personal work file in the future.  

You can fill out this Incident Report as many times as you want.  We will help to determine how your Incident Report will proceed.
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REPORT FILING DATE *
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PROPERTY *
UAW REPRESENTATIVE'S NAME (Who helped you?)
GRIEVANT'S NAME *
EMPLOYEE I.D. NUMBER *
CONTACT NUMBER *
EMAIL ADDRESS *
DEPARTMENT *
SHIFT *
DAYS OFF *
DATE OF INCIDENT *
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TIME OF INCIDENT *
Time
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LOCATION OF INCIDENT *
What happened? (Be specific.) *
How did it make you feel? *
Names of Employees Involved
Executives / Managers / Supervisors Involved
Names of Witnesses (If any.)
Has Status Quo or the Collective Bargaining Agreement been violated? (Cite violations.)
Have there been any violations of Federal, State, or Local Laws? Cite violations (i.e., NLRA, FLSA, OSHA, EEOC, ADA, FMLA, etc.)
Has the Company violated past practice? (Be specific.)
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