Request for Verification of Majority Status

STATE OF MICHIGAN

MICHIGAN EMPLOYMENT RELATIONS COMMISSION

Request for Verification of Majority Status

INSTRUCTIONS: COMPLETE THIS REQUEST 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.

This form is filed by: Union/Labor Organization Other

The Employer is Public Private

Employer Information

Employer Name

Address

Address (continued)

City

State

Zip code

Employer Website

Employer Representative

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Bargaining Unit Information

Bargaining Unit Description Included Positions

Bargaining Unit Description Excluded Positions

Bargaining Unit Size

When requested, will you promptly submit to BER/MERC only, valid show of interest authorizations? Yes No

Union Information

Union/Labor Organization Full Name

Union/Labor Organization Short Name or Acronym

Address

Address (continued)

City

State

Zip code

Union/Labor Organization Representative

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Person Filing This Request

First Name

Last Name

Title/Position

Contact Email

Cell Phone

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Request for Verification of Majority Status