DCW Worker Solidarity - Member Support Form
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First Name *
Surname *
Phone Number *
Email Address *
Employer Name *
Employers Address
Type of employment (e.g. freelance, permanent etc.) *
Employment Start Date *
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Employment end date (if applicable)
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Name and email address of respondent (HR, Manager, Director etc.)
Are you facing any of these problems? (tick all that apply) *
Required
Briefly describe the problem(s) you are facing *
Is this a collective or individual problem? *
If you are a member of UVW-DCW, when did you join (approximatively) *
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Submit
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