Ymlaen/Forward UNISON Case Referral

If you need to refer a case in to the Branch please complete the following information and press the submit button when completed. Please note that fields marked with an “*” must be filled in before you can press the submit button.

Date of the Referral.
Please provide us with your full name.
Please provide us with your UNISON membership number, we can't action your referral without your membership number.
Please provide us with the date when you joined UNISON. You can leave this blanc if you don't remember when you joined but please note that the branch cannot action referrals for members who have been members for less that 4 weeks.
Please provide us with the date in which the incident that you are referring to us occurred.
Please provide us with a contact telephone number.
Please provide us with an email address
Please provide us with your employers name and the area that you are located in so that assign your referral to the correct UNISON Steward
If you know the name of your UNISON Steward or Rep then please provide us with their full name.
Please provide us with the number of years you have you have been in service with your employer.
Please provide us with a brief description of the case that you would like to refer to the Branch.