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Archan Shah
2021-09-22T01:24:05-04:00
First Name
*
Last Name
*
Preferred Name
Unit
*
National Reps
Town of Aurora
Aurora Library
Town of Georgina
Georgina Library
Township of King
City of Markham
Markham Library
Newmarket Library
New Tecumseth Library
Town of Richmond Hill
Richmond Hill Library
City of Vaughan
Vaughan Library
Town of Whitchurch-Stouffville
Whitchurch-Stouffville Library
York Region / YRLTC
Employee Number
*
Preferred Phone Number
*
Preferred Email
*
Reported as (Please check all that may apply)
WSIB
Non-WSIB
Near miss
Violence/Assault in the workplace
Exposure
Needlestick injury
Other
If selected Other
Brief description of what happened
*
Would you like to be contacted by the Union Representative for follow-up and support?
*
Yes
No
Thanks for the notification. If you like to be notified in the future, please contact your Union Steward or email injuredworkers@cupe905.com
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