Nlrb Form 508 Charge Against Labor Organization Page 2
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1
2FORM EXEMPT UNDER 44 U.S.C 3512
INTERNET
UNITED STATES OF AMERICA
FORM NLRB-508
DO NOT WRITE IN THIS SPACE
(2-08)
NATIONAL LABOR RELATIONS BOARD
Case
Date Filed
CHARGE AGAINST LABOR ORGANIZATION
OR ITS AGENTS
INSTRUCTIONS: File an original with NLRB Regional Director for the region in which the alleged unfair labor practice occurred or is occurring.
1. LABOR ORGANIZATION OR ITS AGENTS AGAINST WHICH CHARGE IS BROUGHT
b. Union Representative to contact
a. Name
d. Tel. No.
e. Cell No.
(Street, city, state, and ZIP code)
c. Address
g. e-Mail
f. Fax No.
h.
The above-named organization(s) or its agents has
(have)
engaged in and is
(are)
engaging in unfair labor practices within the meaning of section 8(b),
(list subsections)
subsection(s)
of the National Labor Relations Act, and these unfair labor practices
are unfair practices affecting commerce within the meaning of the Act, or these unfair labor practices are unfair practices affecting commerce within the
meaning of the Act and the Postal Reorganization Act.
2. Basis of the Charge
(set forth a clear and concise statement of the facts constituting the alleged unfair labor practices)
4a. Tel. No.
b. Cell No.
3. Name of Employer
c. Fax No.
d. e-Mail
5. Location of plant involved
(street, city, state and ZIP code)
6. Employer representative to contact
7. Type of establishment
9. Number of workers employed
(factory, mine, wholesaler, etc.)
8. Identify principal product or service
11a. Tel. No.
b. Cell No.
10. Full name of party filing charge
c. Fax No.
d. e-Mail
11. Address of party filing charge
(street, city, state and ZIP code.)
Tel. No.
12. DECLARATION
I declare that I have read the above charge and that the statements therein are true to the best of my knowledge and belief.
Cell No.
By
(signature of representative or person making charge)
(Print/type name and title or office, if any)
Fax No.
e-Mail
Address
(date)
WILLFUL FALSE STATEMENTS ON THIS CHARGE CAN BE PUNISHED BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001)
PRIVACY ACT STATEMENT
Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq. The principal use of the information is to assist the National Labor
Relations Board (NLRB) in processing unfair labor practice and related proceedings or litigation. The routine uses for the information are fully set forth in the Federal Register, 71 Fed. Reg.
74942-43 (Dec. 13, 2006). The NLRB will further explain these uses upon request. Disclosure of this information to the NLRB is voluntary; however, failure to supply the information will cause
the NLRB to decline to invoke its processes.
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