Case Details | Unison

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PERSONAL INFORMATION

Full name*

How would you like us to address you?*

Membership number*

Telephone/mobile*

Email*

EMPLOYMENT DETAILS

Where do you work?*

Job title/role*

Employment status*

Full-time or part-time?*

WHAT IS YOUR ISSUE ABOUT?

Pick a category*

WHAT IS THE PROBLEM?

What is the problem or issue you need help with?*

What happened?*

Who is involved in the issue?

Is the issue still ongoing?*

Yes

No

When did this issue happen?*

WHAT HAS HAPPENED SO FAR?

What action has your employer taken so far?

Have you raised this issue with your employer?*

Yes

No

Have you attended any meetings about this issue?*

Yes

No

ACTIONS YOU HAVE ALREADY TAKEN

Have you taken any action yourself about this issue?*

Yes

No

Have you received any advice or support from anyone else about this issue?*

Yes

No

DOCUMENTS AND EVIDENCE

Do you have any documents or other evidence relating to this issue?*

Yes

No

WHAT OUTCOME DO YOU WANT?

What would you like to happen to resolve this issue?*

Is there anything specific you would like UNISON to help you with?

URGENCY / DEADLINES

Is there a deadline, meeting or hearing coming up that we need to know about?*

Yes

No

Is there anything else that makes this matter urgent?

ACAS / EMPLOYMENT TRIBUNAL

Have you contacted ACAS about this issue?

Yes

No

Have you received an ACAS Early Conciliation certificate?

Yes

No

Not sure

Have you already made an Employment Tribunal claim?*

Yes

No

PREVIOUS UNISON ASSISTANCE

Have you previously received help or advice from UNISON about this issue?*

Yes

No

DECLARATION

Please confirm that the information you have provided is true and accurate to the best of your knowledge.

I confirm that the information I have provided is true and accurate.

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