Fill in the member survey below and it will be sent it to CUPE Ontario.

    Workplace (required)

    Local Number (required)

    Check boxes that apply:

    Have you experienced workplace violence?
    yesno

    Were you a victim or a witness?

    victimwitness

    Did you report it to your employer:
    yesno

    If yes, please check all that apply:

    If no, please check all that apply:

    Your Name (required)

    Your email (required)