Petition For Decertification Removal Of Representative Page 2

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Petition for Decertification (RD)—
Removal of Representative
The undersigned employees of ____________________________________ (employer name) do not want to
be represented by ____________________________________ (union name).
Should the undersigned employees make up 30% or more (and less than 50%) of the bargaining unit
represented by ____________________________________
(union name), the undersigned employees
hereby petition the National Labor Relations Board to hold a decertification election to determine whether
a majority of employees no longer wish to be represented by this union.
Should the undersigned employees make up 50% or more of the bargaining unit represented by
____________________________________ (union name), the undersigned employees hereby request that
____________________________________ (employer name) withdraw recognition from this union immediately,
as it does not enjoy the support of a majority of employees in the bargaining unit.
Signature
Name (Print)
Date

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