Pay Equity Commission 180 Dundas St W Suite 300 Toronto On M7A 2S6 416 314-1896 or 1 800 387-8813 TTY 416 212-3991 or 1 855 253-8333 Fax 416 314-8741
File No.
The Pay Equity Act protects employees from reprisal by their employer, bargaining agent or representative for exercising their Pay Equity rights. Reprisals are actions such as threats, intimidation, disciplinary action and even firing.
Subsection 9(2) of the Pay Equity Act states: Intimidation prohibited 9(2) No employer, employee or bargaining agent and no one acting on behalf of an employer, employee or bargaining agent shall intimidate, coerce or penalize, or discriminate against, a person, (a) because the person may participate, or is participating, in a proceeding under this Act; (b) because the person has made, or may make, a disclosure required in a proceeding under this Act; (c) because the person is exercising, or may exercise, any right under this Act; or (d) because the person has acted or may act in compliance with this Act, the regulations or an order made under this Act or has sought or may seek the enforcement of this Act, the regulations or an order made under this Act.
Note: Please answer all of the following questions if you believe you have been subjected to reprisal and submit by mail or in person. Please type or print clearly in ink. You may add additional pages if space is insufficient.
Submit this Questionnaire:
Pay Equity Commission Pay Equity Office 180 Dundas St W Suite 300 Toronto On M7A 2S6 416 314-1896 or 1 800 387-8813 TTY: 416 212-3991 or 1 855 253-8333 Fax: 416 314-8741
Last Name First Name
2. What was the action taken that you believe was reprisal?
3. Please provide the details of the incident(s) in chronological order, including dates and the names of the persons involved.
Yes No I do not know
5. What makes you think this action was related to Pay Equity?
6. What reason(s) did the employer give you for this action?
7. What makes you think this action was not related to more typical workplace issues, e.g. work performance?
8. Have you been disciplined in the past? When and for what reason?
9. What was the timing of the action taken in relation to your Pay Equity activities?
10. Please provide the names and contact information of anyone who may have witnessed the incident(s).
11. Please list any losses you incurred as a result of the treatment you experienced.
Yes No
13. What action was taken by the union after you complained?
14. Please include any further information or documents that may be relevant to this complaint, e.g. performance evaluations, letters, emails from your employer/union.
The information is collected under the authority of the Pay Equity Act, 1987 for the purposes of this enforcement
For information concerning the collection and use of this information, please contact Legal Counsel, Pay Equity Office, at the following address:
Last Name of person completing this form First Name of person completing this form