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SDNY Amazon Warehouse Investigation

La versión en español de este formulario se encuentra disponible aquí.

The United States Attorney’s Office for the Southern District of New York is investigating workplace safety and related issues at Amazon warehouses, including injuries resulting from workplace hazards, worker rate requirements and the pace of work, and whether Amazon appropriately reported on-the-job injuries.  We would like to hear from current and former warehouse workers, supervisors, safety team members, AmCare staff, or anyone else with relevant information.   

Thank you for taking the time to report your information regarding workplace safety and related issues at Amazon warehouses.  We understand that not all these questions are applicable to every person’s experience, so please provide as much information as you are comfortable sharing and at the end you will have the opportunity to provide any additional information you would like to share. 

Why did you leave? Select all that apply
What type of facility did you work at? Select all that apply
What was your position? Select all that apply
How were you injured? Select all that apply
(E.g., How were you injured? When? Medical Treatment? Work restrictions? When did the pain or symptoms stop, or do they continue today?)
(E.g., How soon after your injury did you visit AmCare? What happened at AmCare? Did you discuss with AmCare staff whether you needed to be seen by a doctor outside of Amazon or by the ER? Did AmCare put you on any work restrictions or tell you to take time off or to get back to work? Did you return to AmCare for that injury?)
(E.g., Did you select the doctor or clinic? Was it recommended by Amazon? Diagnosis? Treatment? Work restrictions? )
(E.g., Diagnosis? Treatment? Work restriction?)

Privacy Act Statement: The information in this form is collected pursuant to the authority found in 5 U.S.C. 301 and 44 U.S.C. 3101.  Providing information about your complaint, injury, or illness on this form is voluntary.  If you do not provide all or some of the information, the Department of Justice may not be able to effectively address issues raised in your submission.  The purpose for collecting information about your complaint, injury or illness is to identify and address potentially unsafe working conditions, assess, investigate and evaluate the overall safety of your work site, and provide necessary information for possible policy and procedural changes.  The information we collect may be disclosed as permitted by the Privacy Act of 1974, 5 U.S.C. 552a, and all applicable Routine Uses, which include, but are not limited to: investigating or prosecuting violations or potential violations related to complaints and reports of injuries that occur in the workplace, and referring complaints or information about your injury or illness to other federal, tribal, state or local agencies. The complete list of routine uses related to this collection may be found in Justice/USA-003 “Citizen Complaint Files,”  54 Fed. Reg. 42,090 (October 13, 1989), 66 Fed. Reg. 8,425 (January 31, 2001), and 82 Fed. Reg. 24,147 (May 25, 2017). We understand that some of the information you provide may include personally identifiable information and health related data.  The Department is committed to protecting the confidentiality of all the information you provide to us.  The Department of Justice’s full Privacy Statement can be found at: https://www.justice.gov/doj/privacy-policy.

The collection, use and dissemination of information on this form is in accordance with the Paperwork Reduction Act of 1995, 44 U.S.C. 3507. This information is for the purpose of allowing the United States Attorney’s Office for the Southern District of New York to engage in the authorized collection of information about potentially unsafe working environments.  An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless that collection displays a currently valid Office of Management and Budget (OMB) control number. The estimated average burden associated with this collection is 20 minutes per response, depending on individual circumstances. Comments concerning the accuracy of this burden estimate and suggestions for reducing this burden should be directed to: USANYS.PRA220714@usdoj.gov.

Updated May 1, 2024