Petition for Fact Finding

STATE OF MICHIGAN

MICHIGAN EMPLOYMENT RELATIONS COMMISSION

Public Sector Use Only

Authority: P.A. 380 of 1965, as amended
Completion: Mandatory
Penalty: Petition will not be processed if incomplete form is filed

INSTRUCTIONS: COMPLETE THIS PETITION USING THIS WEBFORM, YOU MUST INCLUDE THE NAME, EMAIL AND CONTACT NUMBER FOR EACH PARTY REPRESENTATIVE. EMAIL CONFIRMATION OF THIS WEB FORM WILL BE SENT TO ALL PARTIES.

The Department of Labor and Economic Opportuity will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, handicap or political beliefs.

MERC CB Case Number (_____-CB)

Name of MERC Mediator

Employer is Public Private (Not Eligible for Fact Finding, Do Not Submit)

Petition Filed by Union Employer Worker/Employee

Party 1: Employer

Employer Name

Address

Address (continued)

City

State

Zip code

Employer Website

Employer Rep for Fact Finding

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Union/Labor Organization Information

Union/Labor Organization Full Name

Union/Labor Organization Short Name or Acronym

Address

Address (continued)

City

State

Zip code

Union/Labor Organization Representative for Fact Finding

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Fact Finding Information

Does the Bargaining Unit contain both 312 Eligible and Non-312 Positions? Yes No

Date Mediation Requested

Dates of Mediation Meetings

Unit Description

Number of Employees in Unit

Contract Expiration Date

Number of Tentative Agreements Reached

Number of Unresolved Proposals involving Mandatory Subjects of Bargaining

Total Number of Unresolved Proposals

Person Filing This Petition

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Documents Upload

UPLOAD THE MOST RECENT LABOR AGREEMENT BETWEEN THE PARTIES

UPLOAD A LIST OF PROPOSALS/ISSUES IN DISPUTE IDENTIFYING EACH AS "ECONOMIC" OR "NON-ECONOMIC "

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Petition for Fact Finding