Initial Member Interview

When a Chapter Union Steward contacts you about your situation, the steward will ask you a number of questions so we can determine the course of action we need to take. Please help us get a head start by answering the questions on this form. You don’t need to go into great detail because the steward will still speak with you. Just the gist of the situation is sufficient.

Contact Phone *
Contact Phone
This number is my... *
What date did the incident occur? *
What date did the incident occur?
If you know the names of the witnesses, list them here.
If the incident was between you and someone else, type that person's name here. If several people were involved, type the names of as many of the principles as you can. If you don't know their names, type "Male Participant #1," "Female Participant #2," etc.