South Dakota > Workers Compensation
Petition For Decertification - South Dakota
| Petition For Decertification Form. This is a South Dakota form and can be used in Workers Compensation . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
South Dakota Department of Labor and Regulation Division of Labor and Management , Petitioners, and , Respondent. * * * * * * * * * I. The name of the employer, employer's contact person, address and phone number is: PETITION FOR DECERTIFICATION II. The name of the employee organization, contact person, address and phone number is: III. The employee organization was certified by the Division of Labor and Management on : IV. The unit of employees is defined as follows: V. The Number of employees in the unit is: VI. The reason for requesting decertification is: Dated this day of , . ____________________________________ (Petitioner) DOL-LM-10-00 American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
