Petition For Unit Amendment Form - Alaska Labor Relations Agency Page 2
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1
24.
(Continued.)
e. Describe unit:
f. Proposed change
5. Reason for amendment:
6. DECLARATION
I declare that I have read the above statements and that the statements are true to the best of my knowledge
and belief.
By
(Signature)
(Title)
(Date)
Address
(Telephone No.)
This is to certify that on this
day of
a true and correct copy of the foregoing was
mailed or hand delivered (circle one) to:
(Please include names of the individuals served, including employer representative or labor organization
representative.)
Signature
RVSD 8/24/00
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