Worker Complaint of Prohibited Action 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Part I — Background Information. Fill in your contact details, including your name, email, mailing address, date of birth, and phone number. Ensure accuracy as this information will be used for communication.
3. Next, provide details about your employer. Include their name, email, mailing address, phone number, and job title. Indicate whether you still work for them and provide relevant dates regarding your employment.
4. Move to Part II — Complaint Details. Select the type of prohibited action from the options provided and specify the date it occurred. If applicable, detail any failure to pay wages or workplace health and safety issues.
5. In Part III (if applicable), complete the section for union workers by indicating if a grievance has been filed.
6. Finally, review your entries for accuracy before signing and dating the form in Part IV. Submit it via mail or fax as instructed.

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