Application for certification as bargaining agent

Important Information

Once you’ve filled out your form electronically, click the “Print to PDF” button at the end of this page. This will allow you to save a PDF version of your completed form to your desktop or mobile device. You must then submit the completed form through the E-FILING tab.

An application is considered filed with the Board on the date the completed Application for Certification form, the membership evidence relating to the application (see 10. below), the confidential statement required under section 34 of the Canada Industrial Relations Board Regulations, 2012 (the Regulations) and the completed Certificate of Accuracy are received.
Please consult our page on Certification for more detailed information on the requirements related to an application for certification as bargaining agent to represent employees in collective bargaining with their employer.

Applicant Trade Union Information

1. Legal name, address and telephone number of applicant trade union.

Legal name of Applicant:

Address:

Email Address:

Telephone Number:

Name of Union Representative:

Title of Union Representative:

Address if different from above:

Email address if different from above:

Telephone if different from above:

Name of Counsel and Law firm, if applicable:

Address:

Email Address:

Telephone Number:

Section of the Canada Labour Code

2. Please check the appropriate box to indicate what section of the Canada Labour Code (Part I–Industrial Relations) (the Code) applies to this application for certification.

24(1)–Application by a trade union

24.1–Application by a trade union that is not certified and is seeking certification during the term of a collective agreement

32(1)–Application by a council of trade unions

47(2)–Application where a portion of the federal public service is established as a federal business

Employer

3. Legal name of the employer: The full legal name and head office address of the employer is required. If you are not sure of the correct legal name of the employer, please refer to the appropriate federal or provincial government registry of corporations.

Name:

Address:

Email Address:

Telephone Number:

Name of Company Representative:

Title of Company Representative:

4. General nature of the employer’s business:

The Code applies to employees of employers engaged in a federal work, undertaking or business as defined in section 2 of the Code or of Crown corporations, under section 5 of the Code. If possible, specify what type of federal activity the employer is engaged in and relate it to the general nature of the employer’s business.

General Information Concerning this Application

5. Description or location of the proposed bargaining unit that the applicant trade union considers appropriate for collective bargaining and for which certification is sought: The applicant should describe the proposed bargaining unit as: “all employees (working in either a province, city, street address, department, etc.) excluding... (list the classifications excluded).”

6. Approximate number of employees in the proposed bargaining unit:

7. Give the full name and address of any trade union known to the applicant that is the certified bargaining agent for part or all of the employees affected by this application, or of any trade union known to the applicant that has been or is a party to a collective agreement covering part or all of these employees:

8. Give the terms (including commencement, renewal and termination dates) of any existing or recently expired collective agreement that covers or has covered part or all of the employees affected by this application. Please provide a copy of the relevant sections of the collective agreement if available:

9. Provide any additional information that the applicant thinks will be of assistance to the Board:

10. Submit the following:

The completed Application for Certification form

Membership evidence:

Original applications for union membership (i.e. membership cards). Membership cards must be placed in alphabetical order.
Proof of payment of the $5 membership fee, as required under section 31 of the Regulations.

Pursuant to section 35 of the Regulations, all documents received in this regard are handled and retained by the Board in confidence.

A separate and confidential statement of the number of employees in the proposed bargaining unit that you claim to represent as members of the trade union or of the council of trade unions, pursuant to section 34 of the Regulations.

The completed Certificate of Accuracy

Note that the application is considered filed with the Board on the date the completed Application for Certification form, the membership evidence relating to the application (i.e. the original applications for union membership and the proof of payment of the $5 membership fee), the confidential statement required under section 34 of the Regulations and the completed Certificate of Accuracy are received. It is important to note that the failure to submit the required documentation with the application at the time of filing may result in the summary dismissal of the application by the Board.

Made and signed on behalf of the applicant trade union this

day of

Name of trade union:

Name of trade union officer (print):

*Signature of trade union officer:

Trade union office held:

Address if different from those provided in section 1 above:

Telephone if different from those provided in section 1 above:

Name of trade union officer (print):

*Signature of trade union officer:

Trade union office held:

Address if different from those provided in section 1 above:

Telephone if different from those provided in section 1 above:

*N.B: Section 6 of the Board’s Regulations provides that an application filed by a trade union shall be signed by the president or secretary thereof or by two other officers thereof or by a person authorized in writing to sign on behalf of the trade union. You can consult the Code and the Regulations on the Board’s website at www.cirb-ccri.gc.ca.

The personal information provided on this form is collected solely for the purpose of administering the Canada Labour Code and may be accessed by contacting the Board. The information may appear in the Board’s written reasons for decision which may be posted in full on the Board’s website.

CERTIFICATE OF ACCURACY (CERTIFICATION)

(This Certificate of Accuracy is to be completed by the applicant union and filed at the same time as the Application for Certification.)

Name of Union:

hereby report and certify to the Canada Industrial Relations Board (the Board) that:

I have read the provisions of sections 40(1) and 40(2) of the Canada Labour Code, Part I–Industrial Relations, and that I understand their implications.
I have custody of and am familiar with the applications for union membership and the proof of payment of the $5 membership fee in connection with the attached application.
The applications for union membership provided to the Board were in fact signed on the dates shown and by the employees whose names appear thereon.
The amounts shown as having been paid as union dues and/or membership fees were actually paid by the employees concerned on their own behalf and on the dates indicated.
I have filed with the Board all resignations or revocations of membership up to the date of the application that have been submitted to the union by employees claimed as members for the purpose of this application.
I understand that the industrial relations officer appointed by the Board has the authority to investigate and verify all documents and statements made by the parties to this application.
I understand that any misrepresentation or irregularities in the membership evidence provided to the Board could result in the rejection of all or part of the evidence submitted and the dismissal of the application.

Dated this

day of

(Signature of witness)

(Signature of Union Official)

Print to PDF

Quick links

Application for certification as bargaining agent

Important Information

Applicant Trade Union Information

Section of the Canada Labour Code

Employer

General Information Concerning this Application

Signature

CERTIFICATE OF ACCURACY (CERTIFICATION)