Vol. 148, No. 24 — November 19, 2014

Registration

SOR/2014-251 November 3, 2014

PUBLIC SERVICE LABOUR RELATIONS ACT
PUBLIC SERVICE LABOUR RELATIONS AND EMPLOYMENT BOARD ACT

Regulations Amending the Public Service Labour Relations Board Regulations

The Public Service Labour Relations and Employment Board, pursuant to sections 39 (see footnote a), 237 (see footnote b) and 238 of the Public Service Labour Relations Act (see footnote c) and section 36 of the Public Service Labour Relations and Employment Board Act (see footnote d), makes the annexed Regulations Amending the Public Service Labour Relations Board Regulations.

Ottawa, November 2, 2014

CATHERINE EBBS
Chairperson of the Public Service Labour Relations and
Employment Board

REGULATIONS AMENDING THE PUBLIC SERVICE LABOUR RELATIONS BOARD REGULATIONS

AMENDMENTS

1. The long title of the Public Service Labour Relations Board Regulations (see footnote 1) is replaced by the following:

PUBLIC SERVICE LABOUR RELATIONS REGULATIONS

2. (1) Paragraph (d) of the definition “initiating document” in section 1 of the Regulations is repealed.

(2) Paragraphs (o) to (r) of the definition “initiating document” in section 1 of the Regulations are repealed.

(3) Paragraphs (a) and (b) of the definition “initiating document” in section 1 of the Regulations are replaced by the following:

(a) a request for an extension, an addition or a reduction of time under section 12 if the request is filed before the filing of any document referred to in any of paragraphs (b) to (x) or (z.1);
(b) a request for the Board to exercise any of its powers, duties and functions under section 12 of the Act;

(4) The definition “initiating document” in section 1 of the Regulations is amended by adding the following after paragraph (s):

(s.1) an application for review of an arbitral award under subsection 158.1(2) of the Act;

(5) The definition “initiating document” in section 1 of the Regulations is amended by striking out “or” at the end of paragraph (y), by adding “or” at the end of paragraph (z) and by adding the following after paragraph (z):

(z.1) a request for the filing of an order of an adjudicator or the Board in the Federal Court under subsection 234(1) of the Act.

3. Section 2 of the Regulations is replaced by the following:

Filing initiating documents

2. Subject to sections 3, 47, 51 and 55, all initiating documents must be filed in duplicate with the Board.

4. Subsection 3(1) of the Regulations is replaced by the following:

Initiating document sent by fax

3. (1) If an initiating document is sent by fax to the Board, the original of the document and a copy must be sent to the Board as soon as possible.

5. Sections 4 to 6 of the Regulations are replaced by the following:

Copies

4. On receipt of an initiating document or, in the case of an initiating document sent by fax, on receipt of the original of the document and the copy, the Board must provide copies to the other party and to any person who may be affected by the proceeding.

5. The other party must reply to the initiating document — other than a request for arbitration, an application for review of an arbitral award, referred to in subsection 158.1(2) of the Act, a request for conciliation or a notice of a reference to adjudication — no later than 15 days after it receives a copy of the document, unless these Regulations provide otherwise.

Failure to reply

6. Despite sections 16 and 17, if, in a proceeding — other than a reference to adjudication — the other party fails to file its reply to the initiating document within the time limit prescribed in these Regulations, the Board or the Chairperson, as the case may be, may dispose of the matter before it without further notice to that party.

6. (1) Subsection 7(1) of the Regulations is replaced by the following:

Subsequent documents

7. (1) Subject to section 8, any document submitted subsequently to an initiating document must be filed with the Board.

(2) Paragraphs 7(2)(b) of the Regulations is replaced by the following:

(b) every person in receipt of an initiating document by virtue of section 4, unless that person has notified the Board in writing that the person does not wish to receive a copy of subsequent documents;

7. Sections 8 and 9 of the Regulations are replaced by the following:

Clarification

8. Section 7 does not apply to documents filed under section 19 or 54, subsections 92(1) or 93(1), or section 104.

Document received after 4:00 p.m.

9. (1) Subject to subsection (2), if a document is received by the Board after 4:00 p.m. Ottawa local time, the date of receipt of the document is deemed to be the next day that is not a Saturday or a holiday.

Receipt of document sent by courier

(2) If a document is sent by courier addressed to the Board, the document is deemed to have been received on the day on which it is sent.

8. Section 11 of the Regulations is replaced by the following:

Withdrawal

11. (1) The person who initiates a proceeding before the Board, the Chairperson or an adjudicator may withdraw the proceeding in person at the hearing or by providing the Board with a notice of withdrawal in writing at any time before a decision is made.

Closing of file

(2) On being informed by the Chairperson or an adjudicator of the withdrawal or on receipt of the notice of withdrawal, the Board must close the file and inform the parties, the intervenors and, if notice to the Canadian Human Rights Commission was given under subsection 210(1), 217(1) or 222(1) of the Act, the Canadian Human Rights Commission that the file has been closed.

9. Sections 12 and 13 of the Regulations are replaced by the following:

Extension or reduction of time

12. Despite any other provision of this Part, the Board may, with respect to any Board matter referred to in this Part,

(a) in the interest of fairness, extend the time specified under this Part, or allow for additional time, to do any act or file any notice or any document; or
(b) if a matter is urgent, on notice to all parties, reduce the time specified under this Part to do any act or file any notice or any document.

Consolidation

13. To ensure the expeditious resolution of proceedings, the Board may direct that any two or more proceedings before it be consolidated.

10. Section 16 of the Regulations is replaced by the following:

Notice of pre-hearing conference

16. (1) Subject to subsection (2), the Board must provide the parties and intervenors with notice of a pre-hearing conference at least three days before the day that is fixed for it.

Exception

(2) Subsection (1) does not apply in respect of an application for review of an arbitral award referred to in subsection 158.1(2) of the Act.

11. Subsections 17(1) and (2) of the Regulations are replaced by the following:

Notice of hearing

17. (1) Subject to subsection (1.1), the Board must provide the parties and intervenors with notice of a hearing before the Board at least seven days before the day that is fixed for it.

Exception

(1.1) Subsection (1) does not apply in respect of an application for review of an arbitral award referred to in subsection 158.1(2) of the Act.

Notice of hearing to those opposing

(2) In the case of an application for certification or revocation of certification, the Board must also provide notice to each employee or representative of a group of employees who has filed a statement of opposition with respect to the application for certification or revocation of certification, at least seven days before the day that is fixed for the hearing.

12. The portion of section 24 of the Regulations before paragraph (a) is replaced by the following:

Closing date

24. On receipt of the application for certification, the Board must

13. Subsection 25(1) of the Regulations is replaced by the following:

Copies of notice to employees

25. (1) The Board must provide the employer with as many copies of the notice of the application for certification as are necessary considering the number of employees who may be affected by the application and the locations at which they are employed.

14. The portion of section 37 of the Regulations before paragraph (a) is replaced by the following:

Closing date

37. On receipt of the application for revocation of certification, the Board must

15. Subsection 38(1) of the Regulations is replaced by the following:

Copies of notice to employees

38. (1) The Board must provide the employer with as many copies of the notice of the application for revocation of certification as are necessary considering the number of employees who are affected by the application and the locations at which they are employed.

16. Subsection 45(2) of the Regulations is replaced by the following:

Appointment

(2) The returning officer may appoint one or more persons, as required, to assist in the conduct of the vote, other than in any tasks referred to in subsection (1).

17. Section 46 of the Regulations and the headings before it are repealed.

18. Section 47 of the Regulations is replaced by the following:

Request for arbitration

47. A request for arbitration under subsection 136(1) of the Act that is made to the Chairperson must be filed with the Board in five copies in Form 8 of the schedule.

19. The Regulations are amended by adding the following after section 50:

Application for review

50.1 An application for review of an arbitral award under subsection 158.1(2) of the Act must contain representations on the grounds on which the applicant believes that the arbitral award, or any part of it, does not represent a reasonable application of the factors referred to in section 148 of the Act based on a full consideration of the written submissions provided to the arbitration board.

20. Section 51 of the Regulations is replaced by the following:

Request for conciliation

51. A request for conciliation under subsection 161(1) of the Act that is made to the Chairperson must be filed in five copies with the Board in Form 11 of the schedule.

21. Section 54 of the Regulations is replaced by the following:

Statement respecting strike vote

54. The bargaining agent must, no later than the day following that on which the results of a strike vote are announced, file with the Board a statement respecting the strike vote in Form 14 of the schedule.

22. The Regulations is amended by adding the following after section 57:

DIVISION 6.1

COMPLAINT UNDER SECTION 133 OF THE CANADA LABOUR CODE

Canada Labour Code

57.1. A complaint under section 133 of the Canada Labour Code that is referred to the Commission must be filed in Form 26 of the schedule.

23. Paragraph 61(b) of the Regulations is replaced by the following:

(b) in the interest of fairness, on the application of a party, by the Board or an adjudicator, as the case may be.

24. Subsection 92(2) of the Regulations is replaced by the following:

Copies of notice

(2) The person who gives the notice shall send a copy of it to the Board, the other party, any intervenors and every person in receipt of a copy of the notice of the reference to adjudication by virtue of section 4, unless that person has notified the Board in writing that the person does not wish to receive a copy of subsequent documents.

25. (1) Subsection 93(1) of the Regulations is replaced by the following:

Deadline for notice of intention to make submissions

93. (1) The Canadian Human Rights Commission may in Form 25 of the schedule, no later than 15 days after being provided with a notice of a human rights issue under subsection 210(1), 217(1) or 222(1) of the Act, notify the Board of whether or not it intends to make submissions regarding the issue raised in the notice.

(2) Subsection 93(3) of the Regulations is replaced by the following:

Copies of notice

(3) On receipt of the notice, the Board must provide copies to the parties and the intervenors.

26. (1) Subsection 94(1) of the Regulations is replaced by the following:

Participation in mediation

94. (1) The parties must participate in the mediation provided by the Board, unless a party notifies the Board in writing, no later than 15 days after the party that did not refer the grievance to adjudication, receives a copy of the notice of the reference to adjudication that it does not intend to participate.

(2) Subsection 94(2) of the English version of the Regulations is replaced by the following:

Request to mediate

(2) Despite subsection (1), a party may, after notifying the Board of its intention not to participate in mediation, and with the agreement of the other party, request mediation of the grievance.

27. Subsection 95(3) of the Regulations is replaced by the following:

Objection raised

(3) If the party raises an objection referred to in subsection (1), it must provide a statement in writing giving details regarding its objection to the Board.

28. Section 96 of the Regulations is replaced by the following:

Filing with the Board

96. An employer or deputy head or, in the case of a policy grievance, the party that did not refer the grievance to adjudication must, no later than 30 days after the day on which that party was provided with a copy of the notice of the reference to adjudication, file with the Board a copy of the decision that was made in respect of the grievance at each level of the applicable grievance process.

29. Subsection 97(1) of the Regulations is replaced by the following:

Documentation

97. (1) If a grievance relates to the interpretation or application of a provision of a collective agreement or an arbitral award, the party referring the grievance to adjudication must, before or at the hearing, provide a copy of the collective agreement or the arbitral award to the adjudicator or the Board, as the case may be, to the other party or its representative, if any, to the intervenors and, if notice to the Canadian Human Rights Commission is given under subsection 210(1), 217(1) or 222(1) of the Act, to the Canadian Human Rights Commission.

30. Subsection 98(1) of the Regulations is repealed.

31. Sections 99 to 103 of the Regulations are replaced by the following:

Addition of party or intervenor

99. (1) Any person with a substantial interest in a grievance may apply to the Board or the adjudicator, as the case may be, to be added as a party or an intervenor.

Representations

(2) The Board or the adjudicator may, after giving the parties the opportunity to make representations in respect of the application, add the person as a party or an intervenor.

Insufficient information

100. (1) The Board or an adjudicator may, on their own initiative or at the request of a party or an intervenor, in a proceeding before the Board or the adjudicator, as the case may be, request that information contained in any document filed by any other party or any other intervenor be made more complete or specific.

Striking out information

(2) The Board or an adjudicator may, after giving the party or intervenor to whom the request was made the opportunity to reply to the request, strike from the document the information that is incomplete or insufficiently specific.

Notice of pre-hearing conference

101. Unless the matter is urgent, the Board must provide the parties and intervenors with notice of a pre-hearing conference at least three days before the day that is fixed for it.

Notice of hearing

102. (1) Unless the matter is urgent, the Board must provide the parties, intervenors and, if notice to the Canadian Human Rights Commission is given under subsection 210(1), 217(1) or 222(1) of the Act, the Canadian Human Rights Commission with a notice of a hearing at least seven days before the day that is fixed for it.

Failure to attend

(2) If a person who is provided with a notice of hearing fails to attend the hearing or any continuance of it, the Board or the adjudicator, as the case may be, may proceed with the hearing and dispose of the matter without further notice to that person.

Contents of summons application

103. The Board or an adjudicator, if necessary for the fair and expeditious resolution of the proceedings before the Board or adjudicator, as the case may be, may require that an application for a summons contain the name and address of the witness to be summoned and a statement of the evidence that the witness is expected to give at the hearing.

32. Subsection 104(1) of the Regulations is replaced by the following:

Document adduced as evidence

104. (1) Any document adduced as evidence must be filed at the hearing with a copy for the Board or the adjudicator, as the case may be, for each party, for each intervenor and, if notice to the Canadian Human Rights Commission was given under subsection 210(1), 217(1) or 222(1) of the Act, for the Canadian Human Rights Commission.

33. Sections 105 and 106 of the Regulations are replaced by the following:

Adjournment of hearings

105. The Board or adjudicator may adjourn a hearing before the Board or adjudicator, as the case may be, and specify the day, time, place and terms of its continuance.

Withdrawal from a group grievance

106. A bargaining agent who receives a notice of withdrawal from a group grievance referred to in section 218 of the Act after the grievance has been referred to adjudication must provide a copy of the notice to the Board.

34. The heading of the schedule to the Regulations is replaced by the following:

SCHEDULE
(Sections 23,26,27,28 and 36, subsection 39(1), sections 40, 47, 48, 49, 51 52 54, 55, 57, 57.1, 58 and 60 and subsection 77(2), 89(1), 92(1) and 93(1))

35. Forms 1 to 7 of the schedule to the Regulations are replaced by the Forms 1 to 6 set out in Schedule 1 to these Regulations.

36. Forms 8 to 25 of the schedule to the Regulations are replaced by the Forms 8 to 26 set out in Schedule 2 to these Regulations.

COMING INTO FORCE

37. These Regulations come into force on day on which they are registered.

SCHEDULE 1
(Section 35)

SCHEDULE 2
(Section 36)

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 1
(Section 23)

APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

NOTICE: The original and one copy of this application must be filed with the Board.

1. Applicant information:

Name: _________________________________________________________________

Mailing address: _________________________________________________________

Apartment (if applicable): _________________________________________________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:
______________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: __________________________________________________________

Complete section 2 only if the applicant is a council of employee organizations.

2. Constituent employee organization information:

Name of constituent employee organization:
______________________________________________________________________

Name of contact person: _________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: _______________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: __________________________________________________________

3. Employer information:

Name:__________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

4. Detailed description, in both official languages, of the group of employees proposed as a unit appropriate for collective bargaining:

_______________________________________________________________________

5. Estimated number of employees in the bargaining unit proposed in section 4: _____________________________

6. Reason for which the bargaining unit proposed in section 4 is appropriate for collective bargaining:

_______________________________________________________________________

Complete section 7 only if an employee organization is currently certified as the bargaining agent for employees in the bargaining unit proposed in section 4.

7. Information with respect to the bargaining agent representing employees in the bargaining unit proposed in section 4:

Name: _________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________________

Description of the bargaining unit represented:

_______________________________________________________________________

Term of the collective agreement:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

Term of arbitral award, if any:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

8. Other matters relevant to the application:

_______________________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for Certification.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of authorized representative)

_______________________________________________________________
(office held with the applicant)

NOTE: Please see section 30 of the Public Service Labour Relations Regulations, which states:

30. (1) An application for certification shall be accompanied by the documentary evidence on which the applicant intends to rely to satisfy the Board that a majority of the employees in the proposed bargaining unit wishes the applicant to represent them as their bargaining agent.

(2) Any supplementary documentary evidence shall be filed no later than the closing date for the application.

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 2
(Section 26)

REPLY TO AN APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

___________________________________________________ (Name of Applicant)
-and-

______________________________________________ (Name of Employer)

1. Employer information:

Name of authorized representative: _________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) __________________________

E-mail address: _________________________________________________________

2. Total number of employees in the bargaining unit proposed in section 4 of the Application for Certification (Form 1):

_____________________________________________________________________

3. Reason for which the bargaining unit proposed in section 4 of the Application for Certification (Form 1) is not appropriate for collective bargaining:

_____________________________________________________________

Complete sections 4 to 6 only if the employer is proposing a bargaining unit different from the one proposed in section 4 of the Application for Certification (Form 1).

4. Detailed description, in both official languages, of the group of employees proposed as a unit appropriate for collective bargaining:

_____________________________________________________________

5. Reason for which the bargaining unit proposed in section 4 of this reply is more appropriate for collective bargaining than the one proposed in section 4 of the Application for Certification (Form 1):

_____________________________________________________________

6. Total number of employees in the bargaining unit proposed in section 4 of this reply: _______________

Complete section 7 only if an employee organization is currently certified as the bargaining agent for employees in the bargaining unit proposed in section 4 of this reply.

7. Information with respect to the bargaining agent representing employees in the bargaining unit proposed in section 4 of this reply:

Name: _________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________________

Description of the bargaining unit represented:

_______________________________________________________________________

Term of the collective agreement:

to ____________________________________
(dd/mm/yyyy)

from ____________________________________
(dd/mm/yyyy)

Term of arbitral award, if any:

to ____________________________________
(dd/mm/yyyy)

from ____________________________________
(dd/mm/yyyy)

8. Other matters relevant to the application:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for Certification.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of authorized representative)

_______________________________________________________________
(office held with the employer)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 3
(Section 27)

APPLICATION FOR INTERVENTION IN AN APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

___________________________________________________ (Name of Applicant)
-and-

______________________________________________ (Name of Employer)

1. Intervenor information:

Name: _________________________________________________________________

Mailing address: _________________________________________________________

Apartment (if applicable): _________________________________________________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _____________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ________________________________________________________

2. Number of employees who are represented by the intervenor in the bargaining unit proposed in section 4 of the Application for Certification (Form 1): __________________________________________

3. Number of employees who are represented by the intervenor in the bargaining unit proposed in section 4 of the Reply to an Application for Certification (Form 2): ________________________________________

_____________________________________________________________

Complete sections 4 and 5 only if the intervenor in the bargaining unit different from the one proposed in section 4 of the Application for Certification (Form 1).

4. Description of the bargaining unit to which the employees referred to in section 2 or 3 belong:

_____________________________________________________________

5. Term of the collective agreement binding the employees in the bargaining unit described in section 4:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

6. Term of the arbitral award binding the employees in the bargaining unit described in section 4, if any:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

7. Other matters relevant to the application:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for Certification.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of authorized representative)

_______________________________________________________________
(office held with the intervenor)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 4
(Sections 28 and 40)

STATEMENT OF OPPOSITION

Public Service Labour Relations Act

1. Employee information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): _____________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Telephone numbers (where we can reach you):

Home: (___) __________________________

Office: (___) __________________________

Fax number (where we can reach you):

Home: (___) __________________________

Office: (___) __________________________

E-mail address: ______________________________________________________________________

Name of authorized representative (if applicable):

______________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) __________________________

E-mail address: ______________________________________________________________________

2. This constitutes a statement of opposition to the (please choose one of the following):

Check box Application for certification made by _________________________________________
(state name of employee organization) in P.S.L.R.E.B. File

Number: ___________________________________________

Check box Application for a revocation of certification made by ______________________________
(state name of employee, employee organization or employer) in P.S.L.R.E.B. File

Number: ___________________________________________

3. Reason for opposition:

_____________________________________________________________

Each employee listed in section 1 must sign below.

I (we), the undersigned, file this Statement of Opposition.

___________________________________________________________________
(signature)

______________________________________
(dd/mm/yyyy)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 5
(Section 36)

APPLICATION FOR REVOCATION OF CERTIFICATION

Public Service Labour Relations Act

NOTICE: The original and one copy of this application must be filed with the Board.

1. Applicant information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): _____________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Telephone numbers (where we can reach you):

Home: (___) __________________________

Office: (___) __________________________

Fax number (where we can reach you):

Home: (___) __________________________

Office: (___) __________________________

E-mail address: _________________________________________________________

Name of authorized representative (if applicable):

______________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) __________________________

E-mail address: _________________________________________________________

2. Respondent bargaining agent information:

Name: __________________________________________________________________

Mailing address:

Apartment (if applicable):____________

Number and street: ________________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Complete section 3 only if the applicant is not the employer.

3. Employer information:

Name: ________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

4. Description of the bargaining unit for which the respondent bargaining agent is certified:

_____________________________________________________________

5. Estimated number of employees in the bargaining unit described in section 4:

____________________________________________________________________

6. Term of the collective agreement binding the employees in the bargaining unit described in section 4:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

7. Term of the arbitral award binding the employees in the bargaining unit described in section 4, if any:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

8. Provision of the Public Service Labour Relations Act invoked in support of the application:

Check box 94 The employee organization no longer represents a majority of the employees in the bargaining unit.

Check box 98(a) The employer, or a person acting on behalf of the employer, has participated or is participating in the formation or administration of the employee organization in a manner that impairs its fitness to represent the interests of the employees in the bargaining unit.

Check box 98(b) The employee organization discriminates against any employee on a prohibited ground of discrimination within the meaning of the Canadian Human Rights Act.

Check box 99 The employee organization has ceased to act as bargaining agent.

Check box 100 The council of employee organizations no longer meets the condition for certification set out in paragraph 64(1)(c) of the Public Service Labour Relations Act for a council of employee organizations.

9. Reasons for which the certification of the respondent bargaining agent should be revoked (sufficiently detailed to allow the bargaining agent to reply to the application):

_____________________________________________________________

10. Other matters relevant to the application:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for Revocation of Certification.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of authorized representative)

_______________________________________________________________
(office held with the intervenor)

Please note section 42 of the Public Service Labour Relations Regulations, which states:

NOTE:

42. (1) An application for a revocation of certification shall be accompanied by the documentary evidence on which the applicant intends to rely to satisfy the Board that the bargaining agent no longer represents a majority of the employees in the bargaining unit.

(2) Any supplementary documentary evidence shall be filed on or before the closing date for the application.

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 6
(Subsection 39(1))

REPLY TO AN APPLICATION FOR REVOCATION OF CERTIFICATION

Public Service Labour Relations Act

NOTICE: You must attach a copy of any collective agreement or arbitral award affecting the employees in the bargaining unit described in section 4 of the Application for Revocation of Certification (Form 5).

P.S.L.R.E.B. File Number: ___________________________________________

BETWEEN

_______________________________________________________ (Name of Applicant)

-and-

____________________________________(Name of Respondent Bargaining Agent)

1. Information with respect to the person replying to the Application for Revocation of Certification (Form 5):

Name: ________________________________________________________________

Name of authorized representative: _________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) __________________________

E-mail address: _________________________________________________________

2. Estimated number of employees in the bargaining unit described in section 4 of the Application for Revocation of Certification (Form 5): _______________________

3. Date of certification of the bargaining agent for the bargaining unit described in section 4 of the Application for Revocation of Certification (Form 5):

____________________________
(dd/mm/yyyy)

4. Other matters relevant to the application:

_____________________________________________________________

I, the undersigned, duly authorized representative of the respondent bargaining agent, file this Reply to an Application for Revocation of Certification.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of authorized representative)

_______________________________________________________________
(office held with the person replying to the Application for Revocation of Certification)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 8
(Section 47)

REQUEST FOR ARBITRATION

Public Service Labour Relations Act

NOTICE: (1) The original and four copies of this request must be filed with the Board.

(2) A copy of the most recent collective agreement entered into by the parties in relation to the bargaining unit described in section 3 must be attached.

1. Information with respect to the party requesting arbitration:

Name: ____________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: ________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (____) __________________________

Fax number: (_____) ____________________________

E-mail address: _________________________________________________

2. Information with respect to other party to the dispute:

Name: ___________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Detailed description of the bargaining unit in respect of which the request is made:

_________________________________________________________________

4. Date on which the notice to bargain collectively was given under section 105 of the Public Service Labour Relations Act:

_____________________
(dd/mm/yyyy)

5. Have the employer and the bargaining agent, by agreement in writing, chosen arbitration as the process for the resolution of disputes or have 80% or more of the positions in the bargaining unit been designated under section 120 of the Public Service Labour Relations Act on the day on which notice to bargain collectively could have been given?

Check box yes no

6. Steps that have been taken, including the dates of meetings that have been held, and the progress that has been made in collective bargaining following the giving of the notice to bargain collectively:

_________________________________________________________________

7. Terms or conditions of employment for which arbitration is requested:

_________________________________________________________________

8. Proposals, in both official languages, concerning the award to be made in respect of the terms or conditions of employment specified in section 7:

_________________________________________________________________

9. Are you requesting the establishment of an arbitration board consisting of three members under subsection 140(1) of the Public Service Labour Relations Act?

Check box yes no

I, the undersigned, (duly authorized representative of the party) requesting arbitration, file this Request for Arbitration.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________________
(signature of authorized representative)

_________________________________________________________________
(office held with the party requesting arbitration)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 9
(Section 48)

PROPOSALS CONCERNING A REQUEST FOR ARBITRATION OR REQUEST FOR ARBITRATION OF ADDITIONAL MATTERS

Public Service Labour Relations Act

NOTICE: The original and three copies of these proposals or request must be filed with the Board.

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

________________________________________________________ (Name of Applicant)

-and-

______________________________________________________ (Name of Respondent)

1. Information with respect to the party presenting proposals concerning the Request for Arbitration (Form 8) or requesting arbitration of additional matters:

Name: _________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: __________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

_________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (____) __________________________

Fax number: (____) ____________________________

E-mail address: ___________________________________________________

2. Information with respect to the other party to the dispute:

Name: _________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Proposals, in both official languages, concerning the award to be made in respect of the terms or conditions of employment specified in section 7 of the Request for Arbitration (Form 8):

__________________________________________________________________

4. Additional terms or conditions of employment for which arbitration is requested:

__________________________________________________________________

5. Proposals, in both official languages, concerning the award to be made in respect of the additional terms or conditions of employment specified in section 4:

__________________________________________________________________

6. Are you requesting the establishment of an arbitration board consisting of three members under subsection 140(1) of the Public Service Labour Relations Act?

Check box yes no

I, the undersigned, (duly authorized representative of the party) replying to the Request for Arbitration and requesting arbitration of additional matters, file these Proposals Concerning a Request for Arbitration or Request for Arbitration of Additional Matters.

Date: _________________
(dd/mm/yyyy)

_____________________________________________________________
(signature of authorized representative)

__________________________________________________________________
(office held with the party presenting proposals concerning the Request for Arbitration or requesting arbitration of additional matters)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 10
(Section 49)

PROPOSALS CONCERNING A REQUEST FOR ARBITRATION OF ADDITIONAL MATTERS

Public Service Labour Relations Act

NOTICE: The original and three copies of these proposals must be filed with the Board.

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

_______________________________________________________ (Name of Applicant)

-and-

_____________________________________________________ (Name of Respondent)

Proposals, in both official languages, concerning the award to be made in respect of the additional terms or conditions of employment specified in section 4 of the Proposals Concerning a Request for Arbitration or Request for Arbitration of Additional Matters (Form 9):

____________________________________________________________

I, the undersigned, (duly authorized representative of the party) requesting arbitration, file these Proposals Concerning a Request for Arbitration of Additional Matters.

Date: _________________
(dd/mm/yyyy)

____________________________________________________________
(signature of authorized representative)

____________________________________________________________
(office held with the party requesting arbitration)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 11
(Section 51)

REQUEST FOR CONCILIATION

Public Service Labour Relations Act

NOTICE: (1) The original and four copies of this request must be filed with the Board.

(2) A copy of the most recent collective agreement entered into by the parties in relation to the bargaining unit described in section 3 must be attached.

1. Information of the party requesting conciliation:

Name: ___________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

_________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: __________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ____________________________________________________

2. Information with respect to the other party to the dispute:

Name: ___________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Detailed description of the bargaining unit in respect of which the request is made:

________________________________________________________________

4. Date on which the notice to bargain collectively was given under section 105 of the Public Service Labour Relations Act:

_____________________
(dd/mm/yyyy)

5. Have less than 80% of the positions in the bargaining unit been designated under section 120 of the Public Service Labour Relations Act on the day on which notice to bargain collectively could have been given?

Check box yes no

6. Steps that have been taken, including the dates of meetings that have been held, and the progress that has been made in collective bargaining following the giving of the notice to bargain collectively:

________________________________________________________________

7. Terms or conditions of employment for which conciliation is requested:

________________________________________________________________

8. Position concerning the report to be made in respect of the terms or conditions of employment specified in section 7:

________________________________________________________________

9. Are you requesting the establishment of a public interest commission consisting of three members under subsection 164(2) of the Public Service Labour Relations Act?

Check box yes no

I, the undersigned, duly authorized representative of the party requesting conciliation, file this Request for Conciliation.

Date: _________________
(dd/mm/yyyy)

________________________________________________________________
(signature of authorized representative)

________________________________________________________________
(office held with the party requesting arbitration)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 12
(Section 52)

PROPOSALS CONCERNING A REQUEST FOR CONCILIATION OR REQUEST FOR CONCILIATION OF ADDITIONAL MATTERS

Public Service Labour Relations Act

NOTICE: The original and three copies of these proposals or request must be filed with the Board.

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

______________________________________________________ (Name of Applicant)

-and-

_____________________________________________________ (Name of Respondent)

1. Information with respect to the party presenting proposals concerning the Request for Conciliation (Form 11) or requesting conciliation of additional matters:

Name: ________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ___________________________________________________

2. Information with respect to the other party to the dispute:

Name: ________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Position concerning the report to be made in respect of the terms or conditions of employment specified in section 7 of the Request for Conciliation (Form 11):

________________________________________________________________

4. Additional terms or conditions of employment for which conciliation is requested:

________________________________________________________________

5. Position concerning the report to be made in respect of the additional terms or conditions of employment specified in section 4:

________________________________________________________________

6. Are you requesting the establishment of a public interest commission consisting of three members under subsection 164(2) of the Public Service Labour Relations Act?

Check box yes no

I, the undersigned, duly authorized representative of the party replying to the Request for Conciliation and requesting conciliation of additional matters, file these Proposals Concerning a Request for Conciliation or Request for Conciliation of Additional Matters.

Date: _________________
(dd/mm/yyyy)

________________________________________________________________
(signature of authorized representative)

________________________________________________________________
(office held with the party presenting proposals concerning the Request for Conciliation or requesting conciliation of additional matters)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 13
(Section 53)

PROPOSALS CONCERNING A REQUEST FOR CONCILIATION OF ADDITIONAL MATTERS

Public Service Labour Relations Act

NOTICE: The original and three copies of these proposals must be filed with the Board.

P.S.L.R.E.B. File Number: ____________________________________________

BETWEEN

_______________________________________________________ (Name of Applicant)

-and-

_____________________________________________________ (Name of Respondent)

Position concerning the report to be made in respect of the additional terms or conditions of employment specified in section 4 of the Proposals Concerning a Request for Conciliation or Request for Conciliation of Additional Matters (Form 12):

________________________________________________________________

I, the undersigned, duly authorized representative of the party requesting conciliation, file these Proposals Concerning a Request for Conciliation of Additional Matters.

Date: _________________
(dd/mm/yyyy)

________________________________________________________________
(signature of authorized representative)

________________________________________________________________
(office held with the party requesting conciliation)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 14
(Section 54)

STATEMENT RESPECTING A STRIKE VOTE

Public Service Labour Relations Act

1. Bargaining agent information:

Name: ________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

________________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ______________________________________________________

2. Name of the employer: ________________________________________

3. Detailed description of the bargaining unit in which the strike vote was held:

________________________________________________________________

4. Number of employees in the bargaining unit described in section 3: ____________

5. Date on which the strike vote was held:

_________________
(dd/mm/yyyy)

6. Date on which the results of the strike vote were announced:

_________________
(dd/mm/yyyy)

OATH or SOLEMN AFFIRMATION

I, __________________, do swear (or solemnly affirm) that the information contained in the foregoing statement is true and that I have been duly authorized to file this statement, and I make this statement, and I take this oath (or make this solemn affirmation), sincerely believing it to be true.

________________________________________________________________
(signature of authorized representative)

________________________________________________________________
(office held with the bargaining agent)

Declared before me, ______________________________________,

at _____________________________________________________

in the Province of ________________________________________

Date: __________________________________________________
(dd/mm/yyyy)

________________________________________________________________ (signature)

________________________________________________________________
A Commissioner, or other authorized person

(TO BE SWORN OR SOLEMNLY AFFIRMED BEFORE A COMMISSIONER FOR TAKING A DECLARATION UNDER OATH OR ANY OTHER PERSON AUTHORIZED BY LAW TO ADMINISTER AN OATH OR A SOLEMN AFFIRMATION.)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 15
(Section 55)

APPLICATION FOR A DECLARATION THAT A STRIKE VOTE IS INVALID

Public Service Labour Relations Act

NOTICE: The original and two copies of this application must be filed with the Board.

1. Applicant information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): _____________________________

First name (print in block letters):

____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (where we can reach you):

Home:(___)__________________________

Office:(___)__________________________

Fax number: (where we can reach you):

Home:(___)__________________________

Office: (___) _________________________

E-mail address: ________________________________________________

Name of authorized representative: (if applicable): ________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___)_____________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

2. Name of the bargaining agent:

_____________________________________________________________

3. Name of the employer:

_____________________________________________________________

4. Description of the bargaining unit in which the strike vote was held:

_____________________________________________________________

5. Date on which the results of the strike vote were announced:

_____________________
(dd/mm/yyyy)

6. Irregularity alleged to have occurred in the conduct of the vote:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for a Declaration That a Strike Vote Is Invalid.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of the applicant or authorized representative)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 16
(Section 57)

COMPLAINT UNDER SECTION 190 OF THE ACT

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this complaint must be filed with the Board.

(2) Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.

1. Complainant information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): _______________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

Fax numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

E-mail address: ________________________________________________

Name of authorized representative: (if applicable): _________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___)__________________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

2. Respondent information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Paragraph of the Public Service Labour Relations Act on which the complaint is based:

Check box 190(1)(a) Failure to comply with section 56 (duty to observe terms and conditions).

Check box 190(1)(b) Failure to comply with section 106 (duty to bargain in good faith).

Check box 190(1)(c) Failure to comply with section 107 (duty to observe terms and conditions).

Check box 190(1)(d) Failure to comply with subsection 110(3) (duty to bargain in good faith).

Check box 190(1)(e) Failure to comply with section 117 (duty to implement provisions of the collective agreement) or 157 (duty to implement provisions of the arbitral award).

Check box 190(1)(f) Failure to comply with subsection 125(1) (duty to observe terms and conditions).

Check box 190(1)(g) Unfair labour practice within the meaning of section 185.

4. Concise statement of each act, omission or other matter complained of, including dates and names of persons involved:

_____________________________________________________________

5. Date on which the complainant knew of the act, omission or other matter giving rise to the complaint:

_____________________
(dd/mm/yyyy)

Complete sections 6 and 7 only if the complaint alleges an unfair labour practice prohibited by paragraph 188(b) or (c) of the Public Service Labour Relations Act and if the employee organization has established a grievance or appeal procedure.

6. Date on which a grievance or appeal was presented in accordance with any procedure that has been established by the employee organization:

_____________________
(dd/mm/yyyy)

7. Date on which the employee organization has provided the complainant with a copy of a decision with respect to the grievance or appeal referred to in section 6:

_____________________
(dd/mm/yyyy)

8. Steps that have been taken by or on behalf of the complainant for the resolution of the action, omission or other matter giving rise to the complaint:

_____________________________________________________________

9. Corrective action sought under subsection 192(1) of the Public Service Labour Relations Act:

_____________________________________________________________

10. Other matters relevant to the complaint:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the complainant), file this Complaint under Section 190 of the Act.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of complainant or authorized representative)

_________________________________________________________
(office held with the complainant, where applicable)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 17
(Section 58)

APPLICATION FOR A DECLARATION THAT CONDUCT IS UNLAWFUL

Public Service Labour Relations Act

NOTICE: The original and one copy of this application must be filed with the Board.

1. Employer information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

_____________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___)______________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

2. Respondent information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Provision of the Public Service Labour Relations Act alleged to have been contravened:

_____________________________________________________________

4. Description of the conduct giving rise to the application, including dates and names of persons involved:

_____________________________________________________________

5. Corrective action sought under section 198 of the Public Service Labour Relations Act:

_____________________________________________________________

I, the undersigned, duly authorized representative of the employer, file this Application for a Declaration That Conduct Is Unlawful.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of authorized representative)

_________________________________________________________
(office held with the employer)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 18
(Section 60)

APPLICATION FOR CONSENT TO PROSECUTE

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this application must be filed with the Board.

1. Applicant information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): ________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (where we can reach you):

Home: (__)__________________________

Office: (__)__________________________

Fax number: (where we can reach you):

Home: (__)__________________________

Office: (__) __________________________________

E-mail address: ________________________________________________

Name of authorized representative: (if applicable):

_____________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: _______________________

Postal code: ________________________

Telephone number: (___)__________________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

2. Respondent information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Offence under Division 14 of Part 1 of the Public Service Labour Relations Act alleged to have been committed:

_____________________________________________________________

4. Provision of the Public Service Labour Relations Act alleged to have been contravened:

_____________________________________________________________

5. Description of the conduct giving rise to the application, including dates and names of persons involved:

_____________________________________________________________

I, the undersigned, (duly authorized representative of the applicant), file this Application for Consent to Prosecute.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of applicant or authorized representative)

_________________________________________________________
(office held with applicant, where applicable)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 19
(Subsection 77(2))

CONSENT OF AGGRIEVED EMPLOYEES TO THE PRESENTATION OF A GROUP GRIEVANCE

Public Service Labour Relations Act

1. Name of the bargaining agent:

_____________________________________________________________

2. Name of the employer:

_____________________________________________________________

3. Description of the bargaining unit to which the aggrieved employees belong:

_____________________________________________________________

4. Portion of the federal public administration where the aggrieved employees work:

_____________________________________________________________

5. Term of the collective agreement or arbitral award relating to the group grievance:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

6. Provision of the collective agreement or arbitral award that is the subject of the group grievance:

_____________________________________________________________

7. Statement of group grievance:

_____________________________________________________________

8. Corrective action sought:

_____________________________________________________________

We, the undersigned, consent to the presentation of the group grievance under section 215 of the Public Service Labour Relations Act.

NAME OF EACH AGGRIEVED EMPLOYEE (print in block letters)	SIGNATURE	DATE (dd/mm/yyyy)	WORK LOCATION

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

Name of the institution	Nom de l'institution	P.S.L.R.E.B. File Number
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 20
(Subparagraph 89(1)(a)(i))

NOTICE OF REFERENCE TO ADJUDICATION OF AN INDIVIDUAL GRIEVANCE

Interpretation or application of a provision of a collective agreement or an arbitral award

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this notice must be filed with the Board.

(2) Two copies of the original individual grievance must be attached.

(3) It is your responsibility to inform the Board of any changes to your mailing address or telephone numbers.

(4) Pursuant to subsection 209(2) of the Public Service Labour Relations Act, an individual grievance relating to the interpretation or application of a provision of a collective agreement or an arbitral award may not be referred to adjudication without obtaining the approval of the bargaining agent of the grievor to represent him or her in the adjudication proceedings.

(5) Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.

1. Grievor information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): ____________________________________

First name (print in block letters): ____________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (where we can reach you):

Home: (___)__________________________

Office: (___)__________________________

Fax number: (where we can reach you):

Home: (___)__________________________

Office: (___) __________________________

E-mail address: ________________________________________________

2. Name of the employer:

_____________________________________________________________

3. Place of work (for example, city or municipality):

_____________________________________________________________

4. Department, branch or division:

_____________________________________________________________

5. Section or unit:

_____________________________________________________________

6. Position title:

_____________________________________________________________

7. Classification:

_____________________________________________________________

8. Name of the bargaining agent:

_____________________________________________________________

9. Date on which the individual grievance was presented at the first level of the individual grievance process:

_________________
(dd/mm/yyyy)

10. Date on which the individual grievance was presented at the final level of the individual grievance process:

_________________
(dd/mm/yyyy)

11. Date on which the employer provided its decision at the final level of the individual grievance process (if applicable):

_________________
(dd/mm/yyyy)

I, the undersigned, refer the attached individual grievance to adjudication under section 209 of the Public Service Labour Relations Act.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of grievor)

Sections 12 to 18 are to be completed by the authorized representative of the grievor’s bargaining agent only.

12. Information with respect to the authorized representative of bargaining agent:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)____________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

13. Term of the collective agreement or arbitral award relating to the individual grievance:

from ____________________________________
(dd/mm/yyyy)

to ____________________________________
(dd/mm/yyyy)

14. Provisions of the collective agreement or arbitral award that is the subject of the individual grievance:

_____________________________________________________________

Complete section 15 only if an adjudicator is named in the collective agreement.

15. Adjudicator information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

Complete section 16 only if the parties have selected an adjudicator.

16. Adjudicator information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)_____________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

Complete section 17 only if you request that a board of adjudication be established.

17. Information with respect to the person nominated as a member of the board of adjudication:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)_____________________

Fax number: (___)__________________________

E-mail address: ________________________________________________

18. Bargaining agent’s approval to represent the grievor in the adjudication proceedings:

I, the undersigned, duly authorized representative of the grievor’s bargaining agent, state that the bargaining agent is willing to represent the grievor in the adjudication proceedings in relation to the attached individual grievance.

Date: _________________
(dd/mm/yyyy)

_________________________________________________________
(signature of authorized representative of bargaining agent)

_________________________________________________________
(office held with the bargaining agent)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 21
(Subparagraph 89(1)(a)(ii))

NOTICE OF REFERENCE TO ADJUDICATION OF AN INDIVIDUAL GRIEVANCE

Termination, demotion, suspension, financial penalty or deployment

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this notice must be filed with the Board.

(2) Two copies of the original individual grievance must be attached.

(3) It is your responsibility to inform the Board of any changes to your mailing address or telephone numbers.

(4) Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.

1. Grievor information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): ___________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone numbers (where we can reach you):

Home: (__)_____________________________________

Office: (__)_____________________________________

Fax numbers (where we can reach you):

Home: (__)_____________________________________

Office: (___)_____________________________________

E-mail address: ____________________________________________________

Name of authorized representative (if applicable): ___________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (__)__________________________

Fax number: (__)_____________________________

E-mail address: ______________________________________________________

2. Name of the deputy head:

_______________________________________________________________

3. Place of work (for example, city or municipality) :

_______________________________________________________________

4. Department, branch or division:

_______________________________________________________________

5. Section or unit:

_______________________________________________________________

6. Position title:

_______________________________________________________________

7. Classification:

_______________________________________________________________

8. Name of the bargaining agent (if applicable):

_______________________________________________________________

9. Date on which the individual grievance was presented at the first level of the individual grievance process:

_________________
(dd/mm/yyyy)

10. Date on which the individual grievance was presented at the final level of the individual grievance process:

_________________
(dd/mm/yyyy)

11. Date on which the employer provided its decision at the final level of the individual grievance process (if applicable):

_________________
(dd/mm/yyyy)

12. Provision of the Public Service Labour Relations Act under which the individual grievance is referred to adjudication:

Check box 209(1)(b) Disciplinary action resulting in termination, demotion, suspension or financial penalty.

Check box 209(1)(c)(i) Demotion or termination of an employee in the core public administration under paragraph 12(1)(d) of the Financial Administration Act for unsatisfactory performance or under paragraph 12(1)(e) of that Act for any other reason that does not relate to a breach of discipline or misconduct.

Check box 209(1)(c)(ii) Deployment of an employee in the core public administration under the Public Service Employment Act without the employee’s consent where consent is required.

Check box 209(1)(d) Demotion or termination of an employee of a separate agency designated under subsection 209(3) of the Public Service Labour Relations Act for any reason that does not relate to a breach of discipline or misconduct.

Complete section 13 only if an adjudicator is named in the collective agreement.

13. Adjudicator information:

Name: ______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)_____________________________

Fax number: (___)______________________________

E-mail address: _____________________________________________________

Complete section 14 only if the parties have selected an adjudicator.

14. Adjudicator information:

Name: ______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)_____________________________

Fax number: (___)______________________________

E-mail address: ___________________________________________________

Complete section 15 only if you request that a board of adjudication be established.

15. Information with respect to the person nominated as a member of the board of adjudication:

Name: ______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)_____________________________

Fax number: (___)______________________________

E-mail address: ______________________________________________________

I, the undersigned, (duly authorized representative of the grievor), file this Notice of Reference to Adjudication of an Individual Grievance.

Date: __________________________________
(dd/mm/yyyy)

____________________________________________________________
(signature of grievor or authorized representative)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 22
(Paragraph 89(1)(b))

NOTICE OF REFERENCE TO ADJUDICATION OF A GROUP GRIEVANCE

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this notice must be filed with the Board.

(2) Two copies of the original group grievance and of the Consent of Aggrieved Employees to the Presentation of a Group Grievance (Form 19) must be attached.

(3) It is your responsibility to inform the Board of any changes to your mailing address or telephone number.

1. Bargaining agent information:

Name: ________________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: ____________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative: _______________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ______________________________________________________

2. Name of the aggrieved employees’ employer:

_______________________________________________________________

3. Description of the bargaining unit to which the aggrieved employees belong:

_______________________________________________________________

4. Portion of the federal public administration in which the aggrieved employees worked:

_______________________________________________________________

5. Hearing location requested: ___________________________________

6. Date on which the group grievance was presented at the first level of the group grievance process:

_________________
(dd/mm/yyyy)

7. Date on which the group grievance was presented at the final level of the group grievance process:

_________________
(dd/mm/yyyy)

8. Date on which the employer provided its decision at the final level of the group grievance process (if applicable)

_________________
(dd/mm/yyyy)

9. Term of the collective agreement or arbitral award relating to the group grievance:

from ___________________________
(dd/mm/yyyy)

to ___________________________
(dd/mm/yyyy)

10. Provision of the collective agreement or arbitral award that is the subject of the group grievance:

_______________________________________________________________

Complete section 11 only if an adjudicator is named in the collective agreement.

11. Adjudicator information:

Name: ___________________________________________________________

Mailing address

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ______________________________________________________

Complete section 12 only if the parties have selected an adjudicator.

12. Adjudicator information:

Name: ___________________________________________________________

Mailing address

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: ____________________________________________________

Complete section 13 only if you request that a board of adjudication be established.

13. Information with respect to the person nominated as a member of the board of adjudication:

Name: ____________________________________________________________

Mailing address

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: _______________________________________________________

I, the undersigned, duly authorized representative of the bargaining agent, file this Notice of Reference to Adjudication of a Group Grievance.

Date: __________________________________
(dd/mm/yyyy)

______________________________________________________________
(signature of authorized representative of bargaining agent)

________________________________________________________
(office held with the bargaining agent)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 23
(Paragraph 89(1)(c))

NOTICE OF REFERENCE TO ADJUDICATION OF A POLICY GRIEVANCE

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this notice must be filed with the Board.

(2) Two copies of the original policy grievance must be attached.

(3) It is your responsibility to inform the Board of any changes to your mailing address or telephone number.

1. Information with respect to the party referring the policy grievance to adjudication:

Name: ________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Name of authorized representative:

_______________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (__)__________________________

Fax number: (__)_____________________________

E-mail address: ___________________________________________________

2. Name of the other party to the grievance:

_______________________________________________________________

3. Description of the bargaining unit:

________________________________________________________

_______________________________________________________________

4. Hearing location requested:

_______________________________________________________________

5. Date on which the policy grievance was presented to the other party:

_________________
(dd/mm/yyyy)

6. Date on which the other party provided a decision with respect to the policy grievance (if applicable):

_________________
(dd/mm/yyyy)

7. Term of the collective agreement or arbitral award relating to the policy grievance:

from ___________________________
(dd/mm/yyyy)

to ___________________________
(dd/mm/yyyy)

8. Provision of the collective agreement or arbitral award that is the subject of the policy grievance:

_______________________________________________________________

Complete section 9 only if an adjudicator is named in the collective agreement.

9. Adjudicator information:

Name: ___________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)_____________________________

E-mail address: ______________________________________________

Complete section 10 only if the parties have selected an adjudicator.

10. Adjudicator information:

Name: _______________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)_____________________________

E-mail address: ___________________________________________________

Complete section 11 only if you request that a board of adjudication be established.

11. Information on the person nominated as a member of the board of adjudication:

Name: __________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)_____________________________

E-mail address: _______________________________________________________

I, the undersigned, duly authorized representative of the party referring the policy grievance to adjudication, file this Notice of Reference to Adjudication of a Policy Grievance.

Date: __________________________________
(dd/mm/yyyy)

_________________________________________________________
(signature of authorized representative)

________________________________________________________
(office held with the party referring the policy grievance to adjudication)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 24
(Subsection 92(1))

NOTICE TO THE CANADIAN HUMAN RIGHTS COMMISSION

Public Service Labour Relations Act

NOTICE: (1) The party to a grievance who raises an issue involving the interpretation or application of the Canadian Human Rights Act within the context of a request for arbitration of the grievance must file this notice with the Canadian Human Rights Commission.

The Canadian Human Rights Commission mailing address is:

Intake Services
Canadian Human Rights Commission
344 Slater Street
Ottawa ON K1A 1E1

(2) This notice does not constitute a complaint to the Canadian Human Rights Commission.

(3) A copy of the original grievance and of the notice of reference to adjudication (Form 20, 21, 22 or 23) must be attached.

(4) A copy of this notice must be filed with the Board.

(5) It is your responsibility to inform the Canadian Human Rights Commission of any changes to your mailing address or telephone numbers.

(6) Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.

1. Information with respect to the party raising an issue involving the interpretation or application of the Canadian Human Rights Act:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): ___________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

Fax numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

E-mail address: _________________________________________________

Name of authorized representative (if applicable):

_______________________________________________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)_____________________________

E-mail address: _____________________________________________________

2. Information on the other party to the grievance:

Name: ______________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Description of the issue involving the interpretation or application of the Canadian Human Rights Act and of the alleged discriminatory practice or policy:

_______________________________________________________________

4. Prohibited ground of discrimination involved:

_______________________________________________________________

5. Corrective action sought:

_______________________________________________________________

I, the undersigned, (duly authorized representative of the party raising the issue), give notice to the Canadian Human Rights Commission under section (210, 217 or 222) of the Public Service Labour Relations Act, of an issue involving the interpretation or application of the Canadian Human Rights Act.

Date: __________________________________
(dd/mm/yyyy)

________________________________________________________________
(signature of party raising the issue or of representative)

______________________________________________________________
(office held with party raising the issue, if appropriate)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 25
(Subsection 93(1))

NOTICE OF INTENTION OF THE CANADIAN HUMAN RIGHTS COMMISSION

Public Service Labour Relations Act

NOTICE: A copy of the grievance and of the notice of reference to adjudication form (Form 20 , 21, 22 or 23) must be attached.

1. Authorized representative of the Canadian Human Rights Commission:

Name: ______________________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___) __________________________

Fax number: (___) ____________________________

E-mail address: _______________________________________________________

2. Name of the party raising an issue involving the interpretation or application of the Canadian Human Rights Act:

_______________________________________________________________

3. Name of the other party to the grievance:

_______________________________________________________________

4. Date on which the party raising an issue involving the interpretation or application of the Canadian Human Rights Act provided the Canadian Human Rights Commission with the Notice to the Canadian Human Rights Commission (Form 24):

___________________
(dd/mm/yyyy)

5. In light of the information available to it, the Canadian Human Rights Commission:

Check box intends does not intend

to make submissions regarding the issue described in section 3 of the Notice to the Canadian Human Rights Commission (Form 24).

I, the undersigned, duly authorized representative of the Canadian Human Rights Commission, file this Notice of Intention of the Canadian Human Rights Commission.

Date : _____________________________
(dd/mm/yyyy)

___________________________________________________________________
(signature of authorized representative of the Canadian Human Rights Commission)

______________________________________________________________
(office held with the Canadian Human Rights Commission)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

English title	French title	File Number Stamp
Public Service Labour Relations and Employment Board	Commission des relations de travail et de l’emploi dans la fonction publique

Form 26
(Section 57.1)

COMPLAINT UNDER SECTION 133 OF THE CANADA LABOUR CODE

Public Service Labour Relations Act

NOTICE: (1) The original and one copy of this complaint must be filed with the Board.

1. Complainant information:

Check box Mr. Mrs. Miss Ms.

Last or family name (print in block letters): ________________________________

First name (print in block letters):

_____________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

Fax numbers (where we can reach you):

Home: (___)_____________________________________

Office: (___)_____________________________________

E-mail address: _________________________________________________

Name of authorized representative (if applicable): ____________________________

Mailing address (if different from above):

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

Telephone number: (___)__________________________

Fax number: (___)_____________________________

E-mail address: ________________________________________________

2. Employer information:

Name: __________________________________________________

Mailing address:

Apartment (if applicable): ____________

Number and street: _______________________________________________________

City: ________________________

Province or Territory: ________________________

Postal code: _______________________

3. Concise statement of each act, omission or other matter complained of, including dates and names of persons involved:

_______________________________________________________________

4. Steps that have been taken by or on behalf of the complainant for the resolution of the act, omission or other matter giving rise to the complaint:

_______________________________________________________________

5. Corrective action sought under section 134 of the Canada Labour Code:

_______________________________________________________________

6. Other matters relevant to the complaint:

_______________________________________________________________

I, the undersigned, (duly authorized representative of the complainant), file this Complaint under Section 133 of the Canada Labour Code.

Date: __________________________________
(dd/mm/yyyy)

_______________________________________________________________
(signature of complainant or authorized representative)

Where information on more than one person is required in a section or the space provided is not sufficient, please attach additional pages of same-sized paper.

REGULATORY IMPACT ANALYSIS STATEMENT

(This statement is not part of the Regulations.)

Issues

Portions of the Public Service Labour Relations Board Regulations relating to matters arising before the previous Public Service Labour Relations Board (the PSLRB) needed to be changed due to the coming into force, on December 12, 2013, and November 1, 2014, of parts of the Economic Action Plan 2013 Act, No. 2 (the EAP 2013 Act No. 2), as well as the coming into force, on November 1, 2014, of parts of the Economic Action Plan 2014 Act, No. 1 (the EAP 2014 Act No. 1).

Background

Divisions 17 and 18 of the EAP 2013 Act No. 2 as well as Division 29 of the EAP 2014 Act No. 1 amend parts of the Public Service Labour Relations Act (PSLRA). Many of the statutory amendments from the EAP 2013 Act No. 2 to Part 1 of the PSLRA have already come into force and other changes will come into force on November 1, 2014. Changes to the PSLRA in Division 29 of the EAP 2014 Act No. 1 also come into effect on November 1, 2014.

The EAP 2013 Act No. 2 includes the following changes in relation to the PSLRA:

It enacts the Public Service Labour Relations and Employment Board Act (the PSLREB Act), which results in a merger of the PSLRB with the Public Service Staffing Tribunal, to create a new board entitled the Public Service Labour Relations and Employment Board (the PSLREB);
It changes the process used to determine essential services;
It removes the choice of dispute resolution to resolve impasse at the bargaining table; and
It provides for the review of arbitral awards.

The EAP 2014 Act No. 1 enacts the Administrative Tribunals Support Service of Canada Act (the ATSSC Act). The ATSSC Act creates the Administrative Tribunals Support Service of Canada (ATSSC) which becomes the provider of resources, support services, facilities and staff for 11 administrative tribunals, including the new PSLREB. It makes consequential amendments to the PSLRA.

Objectives

Changes to the Regulations of the previous Public Service Labour Relations Board are being passed to ensure as smooth a transition as possible with the coming into force of certain changes in the EAP 2013 Act No. 2, including the PSLREB Act (Division 18 of the EAP 2013 Act No. 2) and with the coming into force of the ATSSC Act (Division 29 of the EAP 2014 Act No. 1). The amendments will also ensure greater certainty and transparency in understanding the operational processes of the PSLREB in relation to the statutory changes to the PSLRA that have now come into force.

Solution and legislative authority

Regulatory amendment is the most efficient manner in which to address these legislative changes. The amendments will foster both a smooth transition and greater certainty and transparency resulting from these statutory changes.

Sections 39, 237 and 238 of the PSLRA provide the Board with the authority to make regulations. The EAP 2013 Act No. 2 also confers on the PSLREB the power to make regulations in a number of areas, stating that the “Board may make regulations […]” In addition, the PSLREB Act gives the Board regulation-making power on any other matters or things that are incidental or conducive to the exercise of the Board’s powers and the performance of its duties and functions. A modification in Part 1 of the PSLRA also includes wording that states that the Board may make regulations on any other matter that is incidental or conducive to the attainment of the objects of this Part.

Key changes in matters governed by regulations include the following:

Wording that reflects structural changes such as the name of the new board, and the new name of the amended Regulations, the Public Service Labour Relations Regulations (the PSLRR);
Modification of the Board forms to reflect structural changes, including the name and acronym of the new board;
Wording that removes the distinction between the Board and the adjudicator, to the extent that adjudicators are members of the Board;
Wording the removes references to the “Executive Director” and replaces that wording with the “Board,” where necessary;
Additional “initiating documents” to include an application for review of an arbitral award under subsection 158.1(2) of the PSLRA; and a request for filing an order of an adjudicator or the Board in the Federal Court under subsection 234(1) of the PSLRA;
Strict time limits for the filing of an application to review an arbitral award and to ensure that the Board can meet its mandate within the short statutory time frame provided;
Wording to provide for an exception to the minimum notice before a pre-hearing conference or a hearing in the case of a review of an arbitral award;
Reference to “Ottawa time” as opposed to “Eastern standard time;”
Wording to allow the appointment of “persons” to assist in the conduct of a vote;
Modification of some of the forms to reflect other changes, such as statutory changes related to the choice of dispute resolution; and
Provisions to allow a Board member or adjudicator to extend the timelines for grievance processes.

Rationale, benefits and costs

The changes in the Regulations Amending the Public Service Labour Relations Board Regulations (the Regulations) relate solely to the Board’s practices and procedures. They are minimal in nature and for the most part reflect only those changes that have been made to the PSLRA as a result of the coming into force of parts of the EAP 2013 Act No. 2 and the EAP 2014 Act No. 1, which will also include the consequent coming into force of the PSLREB Act and the ATSSC Act. The primary goal of the amendments is to ensure a smooth transition in processes and procedures that affect stakeholders in relation to the changes made to the PSLRA. It is expected that the amendments will address concerns of the stakeholders to the extent possible and that they will also assist the parties and the Board in managing the transitions under the EAP 2013 Act No. 2, the PSLREB Act and the ATSSC Act more efficiently.

The Regulations themselves have no impact on federal revenues or resource allocations. Employers, bargaining agents and employees will need to familiarize themselves with the changes in the Regulations but there is no negative impact in the amendments themselves.

“One-for-One” Rule

The “One-for-One” Rule does not apply to the Regulations, as there is no change in administrative costs related to the operations under the PSLRA.

Consultation

The Web site of the previous Public Service Labour Relations Board provided information about the statutory changes arising from the EAP 2013 Act No. 2 and the EAP 2014 Act No. 1 following the passage of these statutes. Consultation with the stakeholders was initiated in September 2014 with a letter to major stakeholders to inform them of the need to make changes to the previous Regulations in order to reflect changes that have come into force or could be coming into force with the EAP 2013 Act No. 2, the EAP 2014 Act No. 1, and the consequent enactment of the PSLREB Act and the ATSSC Act. A copy of the draft Regulations containing the proposed changes was sent to all of the Board’s stakeholders — employers and bargaining agents. The stakeholders were advised that one of the guiding principles was to bring only those minimum amendments that were necessary to ensure conformity with the new legislative framework pending the creation of the Board. They were also advised of the relatively tight time frame within which feedback was required in order to allow the Board time to carefully consider their views before finalizing the proposed amendments.

Implementation, enforcement and service standards

The Board will interpret and apply the Regulations in accordance with principles of statutory interpretation and the principles established in the PSLRA, such as the paramountcy of the public interest; effective labour management relations; that collective bargaining ensure the expression of diverse views for the purpose of establishing terms and conditions of employment; commitment to a fair credible and efficient resolution of disputes in matters arising from terms and conditions of employment; recognition from the Government of Canada that public service bargaining agents represent the interests of employees in collective bargaining and participate in the resolution of workplace issues and rights disputes; commitment from the employer and bargaining agents to mutual respect; and commitment to harmonious labour management relations as essential to a productive and effective public service.

Coming into force

The Regulations come into force on the day that they are registered.

Contact

Sylvie Guilbert
Executive Director and General Counsel
Public Service Labour Relations and Employment Board
C.D. Howe Building
240 Sparks Street, West Tower, 6th Floor
P.O. Box 1525, Station B
Ottawa, Ontario
K1P 5V2
Telephone: 613-990-1830
Fax: 613-990-1849

Footnote a
S.C. 2013, c. 40, s. 368
Footnote b
S.C. 2013, c. 40, s. 336
Footnote c
S.C. 2003, c. 22, s. 2
Footnote d
S.C. 2013, c. 40, s. 365
Footnote 1
SOR/2005-79

Vol. 148, No. 24 — November 19, 2014

Regulations Amending the Public Service Labour Relations Board Regulations

REGULATIONS AMENDING THE PUBLIC SERVICE LABOUR RELATIONS BOARD REGULATIONS

AMENDMENTS

DIVISION 6.1

COMPLAINT UNDER SECTION 133 OF THE CANADA LABOUR CODE

SCHEDULE (Sections 23,26,27,28 and 36, subsection 39(1), sections 40, 47, 48, 49, 51 52 54, 55, 57, 57.1, 58 and 60 and subsection 77(2), 89(1), 92(1) and 93(1))

COMING INTO FORCE

SCHEDULE 1 (Section 35)

SCHEDULE 2 (Section 36)

Form 1 (Section 23)

APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

1. Applicant information:

2. Constituent employee organization information:

3. Employer information:

4. Detailed description, in both official languages, of the group of employees proposed as a unit appropriate for collective bargaining:

5. Estimated number of employees in the bargaining unit proposed in section 4: _____________________________

6. Reason for which the bargaining unit proposed in section 4 is appropriate for collective bargaining:

7. Information with respect to the bargaining agent representing employees in the bargaining unit proposed in section 4:

8. Other matters relevant to the application:

Form 2 (Section 26)

REPLY TO AN APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

1. Employer information:

2. Total number of employees in the bargaining unit proposed in section 4 of the Application for Certification (Form 1):

3. Reason for which the bargaining unit proposed in section 4 of the Application for Certification (Form 1) is not appropriate for collective bargaining:

4. Detailed description, in both official languages, of the group of employees proposed as a unit appropriate for collective bargaining:

5. Reason for which the bargaining unit proposed in section 4 of this reply is more appropriate for collective bargaining than the one proposed in section 4 of the Application for Certification (Form 1):

6. Total number of employees in the bargaining unit proposed in section 4 of this reply: _______________

7. Information with respect to the bargaining agent representing employees in the bargaining unit proposed in section 4 of this reply:

8. Other matters relevant to the application:

Form 3 (Section 27)

APPLICATION FOR INTERVENTION IN AN APPLICATION FOR CERTIFICATION

Public Service Labour Relations Act

1. Intervenor information:

2. Number of employees who are represented by the intervenor in the bargaining unit proposed in section 4 of the Application for Certification (Form 1): __________________________________________

3. Number of employees who are represented by the intervenor in the bargaining unit proposed in section 4 of the Reply to an Application for Certification (Form 2): ________________________________________

4. Description of the bargaining unit to which the employees referred to in section 2 or 3 belong:

5. Term of the collective agreement binding the employees in the bargaining unit described in section 4:

6. Term of the arbitral award binding the employees in the bargaining unit described in section 4, if any:

7. Other matters relevant to the application:

Form 4 (Sections 28 and 40)

STATEMENT OF OPPOSITION

Public Service Labour Relations Act

1. Employee information:

2. This constitutes a statement of opposition to the (please choose one of the following):

3. Reason for opposition:

Form 5 (Section 36)

APPLICATION FOR REVOCATION OF CERTIFICATION

Public Service Labour Relations Act

1. Applicant information:

2. Respondent bargaining agent information:

3. Employer information:

4. Description of the bargaining unit for which the respondent bargaining agent is certified:

5. Estimated number of employees in the bargaining unit described in section 4:

6. Term of the collective agreement binding the employees in the bargaining unit described in section 4:

7. Term of the arbitral award binding the employees in the bargaining unit described in section 4, if any:

8. Provision of the Public Service Labour Relations Act invoked in support of the application:

9. Reasons for which the certification of the respondent bargaining agent should be revoked (sufficiently detailed to allow the bargaining agent to reply to the application):

10. Other matters relevant to the application:

Form 6 (Subsection 39(1))

REPLY TO AN APPLICATION FOR REVOCATION OF CERTIFICATION

Public Service Labour Relations Act

1. Information with respect to the person replying to the Application for Revocation of Certification (Form 5):

2. Estimated number of employees in the bargaining unit described in section 4 of the Application for Revocation of Certification (Form 5): _______________________

3. Date of certification of the bargaining agent for the bargaining unit described in section 4 of the Application for Revocation of Certification (Form 5):

4. Other matters relevant to the application:

Form 8 (Section 47)

REQUEST FOR ARBITRATION

Public Service Labour Relations Act

1. Information with respect to the party requesting arbitration:

2. Information with respect to other party to the dispute:

3. Detailed description of the bargaining unit in respect of which the request is made:

4. Date on which the notice to bargain collectively was given under section 105 of the Public Service Labour Relations Act:

6. Steps that have been taken, including the dates of meetings that have been held, and the progress that has been made in collective bargaining following the giving of the notice to bargain collectively:

7. Terms or conditions of employment for which arbitration is requested:

8. Proposals, in both official languages, concerning the award to be made in respect of the terms or conditions of employment specified in section 7:

9. Are you requesting the establishment of an arbitration board consisting of three members under subsection 140(1) of the Public Service Labour Relations Act?

Form 9 (Section 48)

SCHEDULE
(Sections 23,26,27,28 and 36, subsection 39(1), sections 40, 47, 48, 49, 51 52 54, 55, 57, 57.1, 58 and 60 and subsection 77(2), 89(1), 92(1) and 93(1))

SCHEDULE 1
(Section 35)

SCHEDULE 2
(Section 36)

Form 1
(Section 23)

Form 2
(Section 26)

Form 3
(Section 27)

Form 4
(Sections 28 and 40)

Form 5
(Section 36)

Form 6
(Subsection 39(1))

Form 8
(Section 47)

Form 9
(Section 48)

Form 10
(Section 49)

Form 11
(Section 51)

Form 12
(Section 52)

Form 13
(Section 53)

Form 14
(Section 54)

Form 15
(Section 55)

Form 16
(Section 57)