The HSU is pursuing a back pay claim for members who have not been paid Laundry Allowance. To do so, we need some information for the application.

Note: If you do not fill in this survey, you will not be part of the claim and may not get your back pay.

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* 1. Personal details

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* 2. What date did you start?

Date

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* 3. How many hours do you work per week?

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* 4. Are you provided with a uniform?

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* 5. Are you a member of the HSU?

T