Organizing Forms

FORM FOR FILING NLRB

UNFAIR LABOR PRACTICE "CA" CHARGES

Give Explanation and Dates of Company's Actions, That Forms Basis for Charge *

Submit to: *

Representative Name *

Company Name (legal name) *

Type of Establishment i.e. (Factory/Garage Etc.) *

Number of employees in unit *

Today's Date *

Email *

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Company Address including county *

Company Phone *

Is there now a strike or picketing at the Company?

Yes

If so, give approx. no. of how many employees are involved

Nature of Business (Principal Product or Service) i.e. (auto repair, tire manufacturing, etc.) *

Phone *

Is there an IAM Organizing Campaign in progress? *

Yes

Company fax (IF APPLICABLE)

If yes, when did the campaign start

District/Local Lodge Number *

Company Representative Email *

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Date of Occurance *

Expiration Date of Current Contract (if any)

Company Representative Name and Title *

Date of submission *

Company Representative Cell Number (if applicable)