Apply for Representation

Application for Representation

	Our Application for Representation is the first step for CPSU members in getting direct assistance from the union. Complete your details in this form, and a CPSU Industrial Officer will be assigned to your case to help solve your problem.
	Personal Detail
Membership No (*)	Invalid Input
Family Name (*)	Invalid Input
Given Names (*)	Invalid Input

	Work Detail
Classification	Invalid Input
Agency/Dept.	Invalid Input
Unit	Invalid Input
Line Manager's Name	Invalid Input
Line Manager's Phone	Invalid Input
Local Delegate's Name	Invalid Input
Local Delegate's Phone	Invalid Input

	Problem Detail
Outline of Issue	(eg: Grievance, discipline, dismissal, OHS, bullying, workload, leave entitlement, etc...) Invalid Input
Resolution Sought	(briefly outline relieve - eg: decision reversed, entitlement repaid, etc...) Invalid Input
Actions taken so far	(e.g. spoke to my supervisor, lodged grievance form, etc...) Invalid Input

	Contact Detail
Preferred Contact Method (*)	Invalid Input
Email (*)	Invalid Input
Phone	Invalid Input

	Submission