Request for UEA Assistance

If you have an issue that needs addressing, please complete this form and a UEA Representative will follow up with you. If the issue requires immediate attention, please call our office.

Please note that ANY information that you submit here is confidential, and you will not be identified to any supervisory or administrative personnel without your consent.

For the purposes of being able to have a way to ask follow-up questions, or to seek clarity about an issue, you will be asked for personal contact information, including your name. This information will be for internal use by UEA staff, and is often necessary to ensure that your issues are properly addressed.

Please complete the form below to get started.

What kind of help are you seeking? *

Full Name *

First

Last

Your identity will remain anonymous unless we have your permission to reveal it. We require this information so that we may confirm your membership and to ensure that we will be able to contact you to address your concerns.

Best Contact Email *

UEA recommends that you provide a personal email address, as your district address is subject to FOIA requests and public scrutiny. We require this information so that we may ensure that we will be able to contact you to address your concerns.

Best Contact Phone Number

What is the best time to contact you? *

We will not contact you during instruction. Please list your best time to talk, such as your planning or lunch period, or even after school.

Are you a member of UEA? *

Yes
No
Unsure

We will need to verify your membership before we can assist you. If you are not a UEA member, we are unable to provide you assistance.

Current Position

Current School District *

Campus / Department *

Please explain your concern. *

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