Unfair Labor Practice Charge Form

STATE OF MICHIGAN

MICHIGAN EMPLOYMENT RELATIONS COMMISSION

Unfair Labor Practice Charge Form

Authority: P.A. 380 of 1965, as amended

INSTRUCTIONS: COMPLETE AND SUBMIT THIS ULP CHARGE WEB FORM. YOU MUST INCLUDE THE NAME, EMAIL AND CONTACT NUMBER OF A REPRESENTATIVE FOR EACH PARTY LISTED IN THE CHARGE. EMAIL CONFIRMATION OF THE SUBMITTED WEB FORM WILL BE SENT TO ALL LISTED REPRESENTATIVES.

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.

The Employer is Public Private

Entity Against Which The Charge is Brought Case Against Employer (CE) Case Against Union/Labor Organization (CU)

Party 1: Employer

Employer Name

Address

Address (continued)

City

State

Zip code

Employer Website

Employer Representative

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 County

Union/Labor Organization Representative

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Charge

Pursuant to Statutory Authority (the Labor Mediation Act (LMA) or Public Employment Relations Act (PERA), the undersigned charges that the above-named party has engaged in or is engaging in unfair labor practices within the meaning of the Act. Agree

List the sections of PERA/LMA alleged to be violated in this Charge

Alleged Violation Details

Number of Related MERC Cases Still Pending or Closed Within Last 12 Months

List Related MERC Cases Still Pending or Closed Within Last 12 Months (If none, enter 'none')

Are you interested in attempting to resolve this ULP through Voluntary Mediation before assigning to an ALJ? Yes No Possibly

Person Submitting This ULP Charge Web Form

First Name

Last Name

Title/Position

Contact Email

Cell Phone

Documents Upload

Please Upload Any Additional Documents

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Unfair Labor Practice Charge Form

Unfair Labor Practice Charge Form

STATE OF MICHIGAN

MICHIGAN EMPLOYMENT RELATIONS COMMISSION

Unfair Labor Practice Charge Form

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.

Party 1: Employer

Employer Representative

Union/Labor Organization Information

Union/Labor Organization Representative

Charge

Person Submitting This ULP Charge Web Form

Documents Upload