Petition To Determine Strike Class Form

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INSTRUCTIONS: Submit an original and one copy of this petition to the Department of Labor, Alaska Labor Relations
Agency, 3301 Eagle Street, Suite 208, P.O. Box 107026, Anchorage, Alaska 99510-7026. Telephone No. (907) 269-4895,
Fax (907) 269-4898.
The petitioner seeks determination of the strike classification under AS 23.20.200 of members of a bargaining unit, as
provided in 8 AAC 97.260.
1.
PETITIONER:
2.
RESPONDENT:
Name of organization:
Name of organization:
Contact Person:
Contact Person:
Title:
Title:
Address:
Address:
Telephone No.
Telephone No.
Facsimile No.
Facsimile No.
3.
Name or description of the bargaining unit:
4.
Date of certification or recognition of bargaining representative:
5.
Expiration date of collective bargaining agreement:
6.
Names and positions of unit members for whom determination is sought:

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