Application for revocation of bargaining rights (decertification)

Apart from the union identified above, do you know of any other unions that have bargaining rights at your workplace? If yes, please list them (attach additional pages if necessary).

What is the address of the employer’s workplaces that are affected by this application (if different from above)?

Submit the following:

• Original separate and confidential employee statements signed by each employee you claim to represent stating that they no longer wish to be represented by the bargaining agent and authorizing you to act on their behalf. Please note that petitions (list of signatures on one sheet of paper) are not accepted as evidence of employee wishes.

Pursuant to section 35 of the Canada Industrial Relations Board Regulations, 2012, all documents received in this regard are handled and retained by the Board in confidence.

Note that the application is considered filed with the Board on the date the completed Application for Revocation form, the original separate and confidential employee statements relating to the application 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.

The order or decision you are seeking is:

or

or

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.

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

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

1. I understand that any misrepresentations or irregularities in evidence provided to the Board could result in the rejection of all or part of the evidence submitted and the dismissal of the application.
2. I am an employee of the employer in the bargaining unit covered by this application.
3. I represent a more than 50% of the employees in the bargaining unit.
4. To my knowledge, all signatories in support of this application are expressing their true wishes.
5. I understand that the industrial relations officer appointed by the Board has the authority to investigate and verify all documents and statements made by parties to this application.