Official Federal Forms > National Labor Relations Board
Charge Alleging Violation(s) Under Section 8(e) Of The NLRA NLRB-509 - Official Federal Forms
| Charge Alleging Violation(s) Under Section 8(e) Of The NLRA Form. This is a national form and can be used in National Labor Relations Board . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
American LegalNet, Inc. www.FormsWorkflow.com INTERNET FORM NLRB-509 (2-08) UNITED STATES OF AMERICA NATIONAL LABOR RELATIONS BOARD FORM EXEMPT UNDER 44 U.S.C. 3512 CHARGE ALLEGING UNFAIR LABOR PRACTICE UNDER SECTION 8(e) OF THE NLRA INSTRUCTIONS: File an original with NLRB Regional Director for the region in which the alleged unfair labor practice occurred or is occurring. CASE NUMBER DATE FILED 1. CHARGE FILED AGAINST Employer and Labor Organization a. Name of Labor Organization (Give full name, including local name and number) b. Union Representative to Contact g. Address (Street and number, city, State, and ZIP Code) f. e-Mail Employer c. Tel. No. d. Cell No. e. Fax No. Labor Organization h. Name of Employer m. Employer Representative to Contact i. Tel. No. j. Cell No. k. Fax No. n. Location of Plant Involved (Street, City State, and ZIP Code) , l. e-Mail o. Type of Establishment (Factory, mine, wholesaler, etc.) p. Identify Principle Product or Service q. No. of Workers Employed The above-named labor organization or its agents, and/or employer has (have) engaged in and is (are) engaging in unfair labor practices within the meaning of section 8(e) of the National Labor Relations Act, and these unfair labor practices are unfair labor practices affecting commerce within the meaning of the Act. 2. Basis of the Charge (Be Specific as to facts, names, plants involved, dates, places, etc.) 3. Full Name of Party Filing Charge (If labor organization, give full name, including local name and number) b. Tel. No. c. Cell No. a. Address (Street and number, city, State, and ZIP Code) d. Fax No. e. e-Mail 4. Full Name of National or International Labor Organization of Which It Is an Affiliate or Constituent Unit (To be filled in when charge is filed by a labor organization) 5. DECLARATION Tel. No. I declare that I have read the above charge and that the statements therein are true to the best of my knowledge and belief. Cell No. By (signature of representative or person making charge) Fax No. (Print/type name and title or office, if any) e-Mail Address (date) WILLFUL FALSE STATEMENTS ON THIS CHARGE CAN BE PUNISHED BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001) PRIVACY ACT STATEMENT Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. ยง 151 et seq. The principal use of the information is to assist the National Labor Relations Board (NLRB) in processing unfair labor practice and related proceedings or litigation. The routine uses for the information are fully set forth in the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2006). The NLRB will further explain these uses upon request. Disclosure of this information to the NLRB is voluntary; however, failure to supply the information will cause the NLRB to decline to invoke its processes. American LegalNet, Inc. www.FormsWorkflow.com
|
|||||||
