BFAWU WORKPLACE EXPOSURE COVID-19 QUESTIONNAIRE AND STATEMENT
Please complete this statement if you:
1. Have been diagnosed as suffering from COVID-19 as a result of your current or past employment; or
2. Believe you have suffered from COVID-19 as a result of your current or past employment; or
3. Worked with colleague(s) who have suffered from COVID-19 as a result of their employment
4. This form can also be used in the tragic circumstances where a BFAWU member has died as a result of suffering from COVID-19 as a result of their current or past employment. Please complete the form as best you can. We understand you may not be able to answer all the questions. As a minimum please ensure your contact details are entered for questions 1-5 and in question 6 insert the deceased member’s name and membership number – someone from Thompsons Solicitors will then get back in touch with you.
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