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)