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Incident report form
08 August 2003
It is important that we are aware of incidents that happen in Usdaw workplaces and this Incident Report Form has been produced to enable members to report any such instances. We need to gather this evidence to persuade Government, police and local authorities that there is a real problem of violence and abuse against shopworkers.
This report will be dealt with in the strictest confidence and none of the information you have given Usdaw will be passed to a third party without your express permission.
Please complete this form if you recently suffered a violent attack or abuse at work and return to:
Freedom From Fear Campaign, Incident Report Usdaw, 188 Wilmslow Road, Manchester M14 6LJ
The form is available to download from the resource library.
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