Unfair Labor Practice Charge Against a Labor Organization, Form 1351c-LO

• Legal Form Number: 1351c-LO
• Section: Office of Congressional Workplace Rights (United States)

advancing workplace rights, safety and health, and accessibility in the legislative branch

Officeof CongressionalWorkplaceRights

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1

LABOR MANAGEMENT – UNFAIR LABOR PRACTICE CHARGE

AGAINST A LABOR ORGANIZATION

DO NOT WRITE IN THIS SPACE

Case No.

See instructions below. Attach additional sheets if needed, numbered according to the

box(es) below to which they pertain.

In order to file a charge against an employing office, you must file a different form, Labor

Management – Unfair Labor Practice Charge Against anEmploying Office, Form 1351c-

EO (Employing Office).

FORM 1351c-LO(Labor Organization) Date Filed

1A.Charged labor organization

Name:

Address:

Tel. #: Ext.

Fax #: E-mail:

2A. Charging party

Name:

Address:

Tel. #: Ext.

Fax #: E-mail:

1B. Charged labor organization representative

Name:

Address:

Tel. #: Ext.

Fax #: E-mail:

2B. Charging party representative, if any

Name:

Address:

Tel. #: Ext.

Fax #: E-mail:

3. Which subsection(s) of 5 U.S.C. § 7116(b) and/or (c) do you believe have been violated? [See pages 3 and 4]

Subsection (b):

(1) (2)(3) (4) (5) (6) (7) (8)

Subsection (c):

(1) (2)

4. Describe exactly what the labor organization did. Start with the date and location, and state who was involved, including job titles. If you

need additional space to complete your charge, please write “see attached” below and attach a separate sheet: