FBA Investigation Intake Form Please enable JavaScript in your browser to complete this form.YOUR INFORMATIONYour name *FirstLastYour email *Your phone numberYour job titleYour job siteAre you an HEU member? *YesNoUnsurePlease provide a brief description of the current situation, including the date or dates of eventsHave you previously filed a complaint related to this matter under the Employer's Respectful Workplace Policy?YesNoWho did you report it to? FirstLastTheir title Their email Please explainHave you previously filed a complaint related to this matter under Article 4.03?YesNoWho did you report it to?FirstLastTheir titleTheir emailPlease explainGENERAL INFORMATIONDo any of the following grounds of discrimination apply to your complaint: *None of these applyAgeAncestryColourCriminal ConvictionFamily StatusGender Identity or ExpressionLawful Source of IncomeMarital StatusMental DisabilityPhysical DisabilityPlace of OriginPolitical BeliefRaceReligionSexSexual OrientationOtherIf other, please add additional details Have you notified your employer that you are submitting this complaint under Article 4.03?YesNoWho did you report it to?FirstLastTheir titleTheir emailHave you notified your union that you are submitting this complaint under Article 4.03?YesNoWho did you report it to? FirstLastUnion member title Union member email WHO IS THE PERSON THAT THIS COMPLAINT IS ABOUT?FirstLastTheir job titleTheir job siteIs this person an HEU member? YesNoUnsureIs there a second person involvedYesNoSecond parties nameFirstLastTheir job title Their job site Is this person an HEU member? YesNoUnsureIs there a third person involvedYesNoThird parties nameFirstLastTheir job title Their job siteIs this person an HEU member?YesNoUnsureIs there anything else we should know or are there other people involved? If so, please include their first and last name, job titles, job site and if they are an HEU member.Submit
