Get help with a workplace issue

Complete this form if you need assistance for a workplace issue such as:

completa la versión en español
  • Questions About Workers’ Rights
  • Wage Theft Support
  • Reporting & Resolving Unsafe Working Conditions
  • Access to Resources for Legal Representation
  • Organizing Your Workplace
Name(Required)
How would you prefer for us to contact you? Choose all that apply.(Required)
We collect information about local working conditions so that we can track, research and report on the conditions for our area. If you feel comfortable, please give us a little information about your current job(s).
Where are you employed and what is your job title/position??
Employer
Job Title/Position
 
If you have more than one job, please click on the (+) and add each one.
Agreement(Required)
This field is for validation purposes and should be left unchanged.