Report Anti-Union, Anti-Worker Activity Please use this form to report any anti-union, anti-worker activities you experience or witness. Webform April 9, 2021 Your Name: * Please enter your name. Personal Email Address: * Please enter your personal email address. Today's Date: MonthJanFebMarAprMayJunJulAugSepOctNovDec Day12345678910111213141516171819202122232425262728293031 Year20222023202420252026 Date or Dates of Anti-Union Activity: Please enter the date or dates you witnessed or experienced anti-worker, anti-union activity. Name of Anti-Union Group or Individual: Please enter the name of the group or individual you witnessed taking anti-union, anti-worker action. Type of Anti-Union Activity: Email Snail mail Home visit Worksite visit Automated phone call (robocall) Phone call (real person) Attempt to get list of information about workers Any attempt to record or videotape a worker Other Worksite Where Anti-Union Activity Took Place: If you selected OTHER above, please enter the location you witnessed or experienced anti-union activity. Description of Activity: * Please tell us what happened. Describe what anti-union, anti-worker activity you witnessed or experienced with as much detail as you can. Materials Distributed: Yes No If you have copies of any materials they were handing out, please save them for your union representative. Union Staffer: If any union staffer witnessed this, or if you have previously discussed this activity with a union staffer, please give their name here. Additional Details: If there is anything else you would like us to know, please enter it here.
