Industrial Action Declaration Form
Please complete the Industrial Action Declaration Form to formally notify your organization of planned industrial action. All fields are designed for clarity and ease of use.
Full Name
*
First Name
Last Name
Position or Role
*
Organization or Department
*
Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Type of Industrial Action
*
Please Select
Strike
Work-to-rule
Go-slow
Overtime Ban
Other
Reason for Industrial Action
*
Start Date of Action
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Expected End Date (if known)
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Estimated Number of Participants
*
Additional Comments or Notes
Submit Declaration
Should be Empty: