UC 2024 Disciplinary Notice / Overpayment Notice Reporting Form
Please fill out this form if you received a Counseling Memo, Letter of Warning, or any other disciplinary notice from UC in regards to your participation in the UAW 4811 2024 ULP strike. You can also fill out this form to report if you incorrectly received an overpayment notice. A fellow union member will reach out shortly to discuss next steps. *Note: if your wages were docked and you have yet to fill out this form/were not notified your case was sent to UC, please reach out to contractenforcement@uaw4811.org
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Campus
*
Please Select
Davis
Berkeley
LBL
San Francisco
Merced
Santa Cruz
Santa Barbara
Los Angeles
Riverside
Irvine
San Diego
Job Title (please read the options carefully and select your job title for Spring 2024, if you are unsure what grouping your title falls into please cross-reference your paystub and the examples here)
*
Academic Student Employee (Teaching Assistant/GSI, Tutor, Reader)
Student Researcher (Graduate Student Researcher, Trainee, Fellow, Graduate Student Research Assistant)
Postdoc
Academic Researcher (Specialist, Project Scientist, Professional Researcher, CPP)
Department/Hiring Unit
*
Disciplinary Notice
Please fill out the following questions if you received a counseling memo, letter of warning, or other disciplinary notice from UC in regards to your participation in the UAW 4811 2024 ULP strike.
I received the following (check all that apply):
Counseling Memo
Letter of Warning
Intent to Discipline
Intent to Dismiss
What date did you receive your notice?
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Month
-
Day
Year
Date
Please attach your notice here:
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Any other information you'd like to share about the notice(s) you received?
Overpayment Notices
Please fill out the following questions if you believe your wages were incorrectly docked by UC. *Note: if your wages were docked and you have yet to fill out this form/were not notified your case was sent to UC, please reach out to contractenforcement@uaw4811.org
I incorrectly received an overpayment notice or email about an overpayment notice:
Yes, I incorrectly received an overpayment notice or email about an overpayment notice
No
Not sure, please follow up with me
Please attach a copy of your overpayment notice email or overpayment notice itself.
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Check all that apply:
My wages were docked in my June paycheck (July 1) for the days in June my campus was on strike
My wages were docked in my June paycheck (July 1) for the days in May my campus was on strike
Other
Were you on strike?
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Yes, for the entirety of the time my campus was on strike
Yes, only for part of the time my campus was on strike
No, I did not strike
What days did you strike?
*
We are gathering supporting documentation to provide to UC to rectify incorrect disciplinary notices, incorrect overpayment notices, etc. Supporting documentation includes things like confirmation from your supervisor that you were at work during the days your campus was on strike, emails with students, or any other documentation that indicates when (or when not) you were working. Please upload any relevant documentation here. A fellow union member will be in touch to discuss supporting evidence if you don't currently have any.
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Please describe the overpayment notice issue you are experiencing:
Any other information you'd like to share about your wage docking or overpayment notice?
Submit
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