Workers Comp sign up

WC campaign sign up

Yes. I am an injured worker or the family of an injured worker.

Yes. I am willing to speak publicly about workers comp.

Yes. I am willing to visit my local MP about workers comp.

First Name

Last Name

Mobile phone (optional)

Send me email updates

Send me text messages

Phone

When is a good time to call?

Address (Street, City, State, Postal code)

When are you available? (optional)

Comments, other ideas, etc. (optional)

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