Petition for Certification, Decertification, or Challenge of Exclusive Representative
Once the form has been successfully submitted, you will receive an e-mail response with a copy of all data submitted.
If you have any questions while completing the form, contact the Bureau at 651-649-5421
Sector:
*
Public
Private
Petition Type:
*
Petition for Certification of Exclusive Representative
Petition for Decertification of Exclusive Representative
Petition for Challenge of Exclusive Representative
Name of Employer:
*
Full Name of Employer
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Employer Representative or Counsel:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Email:
*
example@example.com
Name of Union, Employee Organization, or Certain Employees Group:
*
Full Name of Union or Organization
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Name of Union, Employee Organization or Certain Employees Representative or Counsel:
*
First Name
Last Name
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
*
Please enter a valid phone number.
Email:
*
example@example.com
Name of any other employee organization having an interest in or claiming to represent any of the employees affected by this Petition:
Full Name of Organization
Name of Employee Organization Representative:
First Name
Last Name
Phone Number:
Please enter a valid phone number.
Email
example@example.com
Employer Type:
*
Please Select
Board / Commission
City
County
EMS – Other than City or Hospital
Fire District – Other than City
Higher Education
Hospital
Joint Powers
Municipal Utility
School District
State
University
Other Public
Bargaining Unit Type:
*
Please Select
Private Employer Bargaining Unit
911 Dispatchers
911 Dispatchers – Lead / Manager
Administrative / Clerical
Attorneys – City / County
Confidential
Corrections
Fire Department / All Fire Fighters
Fire Department / Captains Only
Fire Department / Chief Officers Only
Health Care Technical
Health / Human Service
Higher Education – Instructional
Higher Education – Non-Instructional
Library – Professional
Library – Other
Nurses
Paramedic / EMT
Police Department / All Peace Officers
Police Department / Chief Officers Only
Police Department / Lts or Capts
Police Department / Sergeant Only
Professional
Probation Officers
Public Defenders
School Clerical
School Custodian / Maintenance
School Food Service
School Para / Aides
School Principals / Asst. Principals
School Transportation
School Other
Sheriff Dept / Deputies
Sheriff Dept / Ranking Officers
Streets / Highway / Public Works
Supervisory Unit – General
Teachers K-12
Teachers Other
Wall to Wall
Open Window Information:
Public: A single-party petition is timely if it is filed during the open-window period. Open-window period means the following period of time prior to the expiration of a labor contract: A. For state executive branch: 270 to 210 days; B. For teachers, 180 to 120 days; and. For all other public employees, 120 to 60 days. The Bureau also accepts single-party petitions after a contract has expired and no new contract has been ratified. Private: A single-party petition is timely if it is filed during the open-window period. Open-window period means the following period of time prior to the expiration of a labor contract: 90 to 60 days. The Bureau also accepts single-party petitions after a contract has expired and no new contract has been ratified.
Expiration Date of Current Contract (Decertification or Challenge):
-
Month
-
Day
Year
Date
Number of Employees Covered by Request:
*
Description of CURRENT Unit:
*
BMS Unit Determination Description
Description of PROPOSED Unit:
*
Description of what the Organization is proposing for a new unit
Is there a joint stipulation signed by the parties for this request?
*
Yes
No
Upload joint stipulation signed by both involved parties
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upload Constitution and By-Laws:
*
Browse Files
Drag and drop files here
Choose a file
CURRENT COPY OF UNION CONSTITUTION AND BYLAWS.
Cancel
of
This petition will not be processed until at least 30% showing of interest is provided to the Bureau. (Select One)
*
I have emailed the required Authorization Cards to mediation.services.bms@state.mn.us
I have mailed the required Authorization Cards to the Bureau.
I have faxed the required Authorization Cards to the Bureau @ (651) 539-0001.
Date Petitioner Will Send Copy to Other Party(s):
*
-
Month
-
Day
Year
Date
Name of Person Filling this Petition:
*
First Name
Last Name
E-Mail Address of Person Filing:
example@example.com
Signature
Submit Form
Should be Empty: