Form Nlrb-4767 - Appeal Form - National Labor Relations Board
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1UNITED STATES OF AMERICA
FORM NLRB-4767
(9-16)
NATIONAL LABOR RELATIONS BOARD
APPEAL FORM
To: General Counsel
Date:
Attn: Office of Appeals
National Labor Relations Board
1015 Half Street, S.E.
Washington, D.C. 20570
Please be advised that an appeal is hereby taken to the General Counsel of the National Labor Relations
Board from the action of the Regional Director in refusing to issue a complaint on the charge in
Case Name(s).
Case No(s). (If more than one case number, include all case numbers in which appeal is taken.)
(Signature)
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