CONSENT OF AGGRIEVED EMPLOYEES TO THE PRESENTATION OF A GROUP - PDF document

Federal Commission des relations de Public Sector travail et de l'emploi dans le F.P.S.L.R.E.B. File Labour Number Relations and secteur Employment public Board fédéral FOR OFFICE USE ONLY Form 19 Subsection 77(2) of the Federal Public Sector Labour Relations Regulations CONSENT OF AGGRIEVED EMPLOYEES TO THE PRESENTATION OF A GROUP GRIEVANCE Federal Public Sector Labour Relations Act 1. Name of the bargaining agent: 2. Name of the employer: 3. Description of the bargaining unit to which the aggrieved employees belong: 4. Portion of the federal public administration in which the aggrieved employees work: 5. Term of the collective agreement or arbitral award that is the subject of the group grievance: collective agreement: from to ( dd/mm/yyyy) (dd/mm/yyyy) arbitral award: from to ( dd/mm/yyyy) (dd/mm/yyyy) Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

6. Provision of the collective agreement or arbitral award that is the subject of the group grievance: 7. Statement of group grievance: 8. Corrective action sought: We, the undersigned, consent to the presentation of the group grievance under section 215 of the FederalPublic Sector Labour Relations Act . NAME OF EACH AGGRIEVED EMPLOYEE DATE WORK SIGNATURE (print in block letters) (dd/mm/yyyy) LOCATION Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.