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

Federal Public Sector Labour Relations and Employment Board Commission des relations de travail et de l'emploi dans le secteur public fédéral F.P.S.L.R.E.B. File Number FOR OFFICE USE ONLY

Form 19 Subsection 77(2)

• f 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 (print in block letters) SIGNATURE DATE (dd/mm/yyyy) WORK 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.