Interference Incident Report

The company, its supervisors and representatives are prohibited by law from interfering with, coercing or intimidating employees in the exercise of their right to choose a Union representative.  If you think a violation has occurred, please fill out the following form and submit it to AFA-CWA by clicking on the “submit” button below.

Note: Due to the timeout security feature we suggest that you type out your report in a word processing program and copy and paste it into the form below.

First Name:
Last Name:
File/Employee Number:
Your domicile?
Date of Incident: (MM/DD/YYYY)
Time of Incident:
Management Name:
Description of Incident:
Recap of Conversation
(if any):
Your Email Address: