1.Name

2.What is your current Directorate and work location?

3.What is your Grade?

4.Are you currently supporting CSERB (Anchorwise)

5.Are you currently in receipt of a RRA payment?

6.What are you expected to do supporting CSERB work? (Specifically, are you exposed to CSA material)

7.How many days or hours per week do you spend supporting CSERB?

8.What date did you start supporting CSERB work?

9.Are you willing to support an NCOA led Class Action Grievance if required?