Petition For Recognition By Mutual Consent Form Page 2
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1
2d.
Date of Employer Recognition:
4.
Submit documentation of majority support for authorization of labor or employee organization to serve as exclusive
bargaining representative (such as interest cards for 50 percent plus 1 members of the proposed unit), certification of
of results collective bargaining agreement ratificaiton election, or other means (describe):
As permitted under 8 AAC 97.110, the public employer and labor or employee organization consent to certification of the
labor or employee organization as the exclusive bargaining representative for the proposed unit.
I declare that I have read the above petition and that the statements are true to the best of my knowledge and belief.
By
(Signature of labor or employee representative)
(Title or office, if any)
SUBSCRIBED AND SWORN TO before me at
, Alaska, this
day of
,
.
Notary Public in and for Alaska
My Commission Expires:
I declare that I have read the above petition and that the statements are true to the best of my knowledge and belief.
By
(Signature of public employer)
(Title or office, if any)
SUBSCRIBED AND SWORN TO before me at
, Alaska, this
day of
,
.
Notary Public in and for Alaska
My Commission Expires:
F:DATA\CO\ALR\P&P\REP\REP3.DOC
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