SEIU District 1199 WV/KY/OH - The Healthcare & Social Service Union
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Forms

url  Update Your Contact Information Online 

url  Mercy Lorain Assignment Despite Objection Form

url  Grievance Form 2-Step

url  
Grievance Form 3-Step (BrightSpring/ResCare)

url  
Membership Form

url  
COPE/PAC Card

url  
Grievance Withdrawal Form

url  
Assignment Despite Objection (RNs Only)

url  
Assignment Despite Objection (Mercy Health RNs)

url  
Delegate Nomination Form (State Members Only)

url  
File a Grievance (State Members Only)

url  How to File a Grievance (Webinar for State Members Only)

url
  
Settlement Agreement Form (State Members Only)

url  
Executive Board Excused Absence Request Form

url  Sign a Membership Card or Update/Renew Online

url  Event Sign In Sheet

url  Give to SEIU COPE Online


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Upcoming Events

  1. Human Trafficking Awareness Month

    January 1 - January 31
  2. Black History Month

    February 1 - February 28
  3. Delegate and Leadership Training for Region 1 Members

    February 20
  4. National Social Work Month

    March 1 - March 31
  5. State of Ohio Chapter Basic Delegate Training

    March 24
  6. National Nurses Month

    May 1 - May 31
  7. National Library Workers Day

    May 6
  8. National Nursing Home Week

    May 9 - May 15
  9. National Peace Officers Memorial Day

    May 15
  10. State of Ohio Chapter Intermediate Delegate Training

    May 26

View All Events

MRC contact

    Columbus Office

    1395 Dublin Road
    Columbus, OH 43215
    P: 877.419.7348
    F: 614.461.1549

    Cleveland Office

    13000 Shaker Boulevard
    Cleveland, OH 44120
    P: 877.419.7348
    F: 614.461.1549

    West Virginia Office

    501 5th Avenue Suite #2
    Huntington, WV 25701
    P: 877.419.7348
    F: 614.461.1549

    Toledo Office

    435 S. Hawley Street
    Toledo, OH 43609
    P: 877.419.7348
    F: 614.461.1549

SEIU District 1199 WV/KY/OH