Liberty Membership: Class Action Legal Support Campaign – Interest Survey

Name/Nom *

First

Last

Prénom/Nom de famille

Your Contact Email/Courrier électronique *

You are/were a Federal Public Servant employed with a core public administration department and fell under the Policy on COVID-19 Vaccination for the Core Public Administration Including the Royal Canadian Mounted Police (Core Public Administration includes over 75 departments, agencies and commissions for which the Treasury Board of Canada Secretariat is the employer. The departments named in Schedule I and the other portions of the federal public administration named in Schedule IV, Financial Administration Act.)
You are/were governed by a collective agreement, represented by a Union and pay Union dues
You are/were unvaccinated or unwilling to disclose your private medical information
On or after the date the policy was enacted in your department, you suffered 1 or more of the following harms;

were terminated;
attested you were unvaccinated or partially vaccinated, applied for and were denied an accommodation;
were placed on unpaid leave and have not yet returned to work;
were placed on unpaid leave and returned to work when the mandate was suspended, on or after June 20, 2022;
retired early, or
sought sick leave because of the mandates

I meet all 4 of the above eligibility defintions. *

AT THE TIME THE POLICY WAS ENACTED/AU MOMENT DE L’ADOPTION DE LA POLITIQUE

Were you an employee of the Canadian Federal Government?/Were you an employee of the Canadian Federal Government?

What was your title?/Quel était votre titre? *

Department/Département *

What was your employment status?/Quel était votre statut d'emploi? *

How many years of service did you have?/Combien d'années de service avez-vous eues? *

AT THE TIME THE POLICY WAS ENACTED/AU MOMENT DE L’ADOPTION DE LA POLITIQUE

Were you represented by a union?/Étiez-vous représenté par un syndicat? *

Union/Syndicat *

Classification/Classification *

Type of harm *

Multiple Choice *

I declare that the statements in this survey are true to the best of my knowledge.