Unlock hundreds more features
Save your Form to the Dashboard
View and Export Results
Use AI to Create Forms and Analyse Results

Forgot Password?
Get Started
OR
Sign UpLogin With Facebook
Sign UpLogin With Google

Workplace Petition Form Template

Create a platform for employee voices with our petition template

Feeling unheard in your workplace can be frustrating. Our Workplace Petition Form Template helps employees, unions, and advocacy groups unite and voice their concerns effectively. This template enables you to advocate for essential changes, improve workplace conditions, and foster collaboration with management, while ensuring compliance and accessibility through WCAG-aligned labels. You can easily customize it to fit your needs, invite signatures, and streamline the petitioning process. Start shaping a better workplace today with our user-friendly template.

Use this Template (FREE) Live Preview
Petition title
Petition statement or request
Department or team primarily affected
Primary workplace location or site related to this petition
I support the petition described above
Yes
No
Full name
Job title or role
Employment status
Company or employer
Your primary work location or site
Work email
Personal email
Phone number
Preferred contact method
Work email
Personal email
Phone
Do not contact me
How should your name be displayed to other signers and petition recipients?
Show full name
Show first name and last initial
Show initials only
Keep my name private to organizers
Do you consent to share your signature and any comment with management or decision-makers for this petition?
Yes
No
Would you like to receive updates about this petition?
Yes
No
Type your full name (acts as signature)
Date signed
I affirm the information provided is accurate and that I am signing voluntarily.
True
False
Message to decision-makers
{"name":"Petition title", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"Petition title, Petition statement or request, Department or team primarily affected","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}
paper art illustration featuring a workplace petition form with checkboxes and clear sections for signatures and details

When to use this form

Use this form when coworkers want to request a specific workplace change and show broad support. Examples: safer equipment in the warehouse, fairer overtime rotation, recognition of a new employee group, or a remote-work pilot. It helps team leads, union organizers, and employee resource groups collect names, roles, and comments in one place. If your staff is distributed, gather signatures with the Online petition form with e-signature form. When you need a clear cover note to leadership, pair your submission with the Petition letter form. The outcome is a clean, shareable record you can send to HR or management to prompt a decision and timeline.

Must Ask Workplace Petition Questions

  1. What specific change are you requesting, in one sentence?

    A single, precise ask reduces confusion and speeds review. It also helps you align signers and avoid scope creep.

  2. Which teams, departments, and locations are affected?

    This scoping detail shows impact size and urgency. It helps route the request to the right manager or committee.

  3. What evidence or examples support this request?

    Data, incidents, or quotes help decision-makers see the stakes. If leadership declines, this context strengthens any follow-up using the Appeal form.

  4. Who is the decision-maker for this issue (name and title)?

    Identifying the owner speeds delivery and accountability. It also clarifies who must approve next steps.

  5. May we display your name and role to the decision-maker?

    Consent builds trust and meets privacy expectations. It also lets leaders verify support while respecting those who prefer not to be listed.

More Forms

Copy/Edit Form Send to Recipients Make a Form w/AI Form Builder Must Ask Questions
  • 100% Free - No Catches
  • Collect Responses Today
  • Tailor to your Look & Feel