CBA/MOU/Safety Violations Report Form

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Please use this form to document any issues you experience in this first week. We will follow-up and use this data either to push for better school planning, or so that we can file grievances. All questions are optional, but it will be difficult to address your issue without all information.

School

Name

non-bps email

Best Phone number

Role

Unit

Teacher (Includes Nurses and RSPs)

Paraprofessional

Substitute

ABA

Not sure, or a general issue impacting multiple units

Clear selection

Issue

Assigned to work in-person for remote work

No lunch or break

PPE does not meet the requirements

Missing/insufficent supplies

Room without proper ventilation or safeguards

Not given alternate workspace

Not given technology

Other:

Clear selection

Explanation of Issue:

Have you reported this to a supervisor already? Was there a response?

Submit

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