Report Health and Safety Concerns
Do you feel like your health or safety is being compromised at work? Please fill out the form below.
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Email *
First Name *
Last Name *
Phone Number
Zip Code *
Have you or anyone in your store/facility tested positive for COVID-19?
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If you or a coworker tested positive, please tell us how your employer responded.
Are there any health and safety supplies or protective gear missing from your workplace?
Store Number
Are there any other health and safety concerns at your workplace that you would like to report to your union?
A copy of your responses will be emailed to the address you provided.
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