UAW 2865 Workplace Issue Form
Are you having an issue in your workplace - your classroom, your teaching lab, your tutoring center? Please let us know! The purpose of this form is to provide your Union's contract enforcement committee members with information about violations of our GSI/TA, Tutor, and Reader contract. After you fill out this form, Union members will reach out to you to discuss possible next steps, which may include filing a formal grievance against the University. Please provide as much information as possible. If you would prefer to talk in person or over the phone rather than share details here, please let us know below.
First Name *
Your answer
Last Name *
Your answer
Preferred Name (if different from above)
Your answer
Which campus do you work on? *
Are you a member of the UC Student-Workers Union? *
Non-UC Email Address *
Your answer
Cellphone Number
Your answer
Department Employed
Your answer
Department Enrolled *
Your answer
Date(s) when issue took place (or "ongoing") *
Your answer
Brief summary of issue/complaint
Your answer
Anything else we should know?
Your answer
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