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. Have you? Applicants please note that the CPSU reserves the right to accept or reject any application and may at anytime discontinue representation. Where applicable, please ensure you have: * Provided your preferred method of contact and the relevant details * Provided the name and number of the relevant decision maker * Attached copies of relevant documentation * Advised yoru CPSU workplace delegate of your issue
	Personal Detail
Membership No (*)	Invalid Input
First Name (*)	Invalid Input
Last Name (*)	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

	Validation and Submission
Enter the 4 characters you see	Refresh Invalid Input