United Healthcare Workers of Ontario

Fill out the form below to secure your commitment for legal representation.

* indicates required

First Name *

Last Name *

Employer (Be Specific) *

i.e. Windsor Reginal Hospital Met Campus

Union with Branch Number *

i.e. Cupe 1132 [Enter "NA" if non union]

Occupation *

i.e. Nurse

Email Address *

Phone Number *

Address *

Street Address Address Line 2 City State/Prov/Region Postal/Zip Country

Commitment to retain Rocco Galati and his legal Team | Deadline 5pm Monday October 11th, 2021