Personnel Data Request
Minnesota Statute 13.43, Subd. 6 grants authority to the Commissioner of the Bureau of Mediation Services to authorize the release of personnel data to labor organizations.
Once the form has been submitted, you will receive an e-mail response with a copy of all data submitted.
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
Phone Number:
*
Please enter a valid phone number.
Email:
*
example@example.com
Name of Petitioning Party:
*
Is this a Union or Individual:
*
Union/Organization
Individual
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
Type of Data Requested:
*
Please list all.
Reason for Request:
*
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Date of Request
*
-
Month
-
Day
Year
Date
Name of Person filing Request
*
First Name
Last Name
Email
*
example@example.com
Signature
*
Submit
Should be Empty: