Contact Working Women’s Centre WA

How can we help you?

Please select all that apply.*

I’ve lost or am losing my job

I’m being treated unfairly

I’m experiencing unwanted behaviour

Help us understand your situation

Please select all that apply.*

I was fired/dismissed by my employer

I was forced to quit by my employer

I was/am being made redundant by my employer

I was/am being made redundant by my employer

I’m at risk of dismissal due to misconduct/performance issues

I am being discriminated against at work

I am not being paid correctly

I am not receiving a minimum entitlement

I have an issue with my workplace contract

My employer is trying to stop me working for someone else

I am unsure about my employment status

My employer calls me a contractor but I think I am an employee

I am experiencing workplace bullying

I am being sexually harassed at work

I have concerns about my safety at work

I have been accused of workplace sexual harassment

None of the above

Please provide more information

Which of these options best describes you?

Please select all that apply.*

I’m experiencing (or at risk of) family, domestic or sexual violence

I’m experiencing (or at risk of) homelessness

I’m an Aboriginal and/or Torres Strait Islander

I’m culturally, ethnically and/or linguistically diverse

I’m living with a disability or mental illness

I’m residing in a rural or remote area

I’m financially disadvantaged/low income

None of the above

Please provide more information

Tell us about you

Please fill in your details below.*

First Name*

Last Name*

Date of birth*

Email*

Do you require an interpreter?

Phone*

Preferred method of contact*

Suburb*

Are you referring someone?

If you're completing this form on someone else’s behalf, please share your details below.*

Are you referring someone?*

Yes, I am

No, this is for me

Your Name*

Your position/role*

Email*

Phone*

Has the person agreed to you filling out this form?*

Are they happy for the WWCWA to contact them directly?*