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Forms
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Forms
Photos/Videos
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Our Vision
National Executive
Defence Fund
Regions
Region 1 – Quebec
Region 2 – Ontario
Region 3 – Alberta, Saskatchewan and Manitoba
Region 4 – British Columbia
Contact us
News
Constitution, Policies and Regulations
Past Conventions
Word from the National President
Forms
Photos/Videos
Word from the National President
Forms
Photos/Videos
EN
FR
Join Our Union
EN
FR
Home
Our Vision
National Executive
Defence Fund
Regions
Region 1 – Quebec
Region 2 – Ontario
Region 3 – Alberta, Saskatchewan and Manitoba
Region 4 – British Columbia
Contact us
News
Constitution, Policies and Regulations
Past Conventions
Menu
Home
Our Vision
National Executive
Defence Fund
Regions
Region 1 – Quebec
Region 2 – Ontario
Region 3 – Alberta, Saskatchewan and Manitoba
Region 4 – British Columbia
Contact us
News
Constitution, Policies and Regulations
Past Conventions
Application to the National President for Strike Approval, Lockout Certification, or Third-Party Picket Support
Fill out the form below
Local No.:
Name of the Employer (or bargaining unit if applicable):
Address of the Employer:
Postal Address
City
Province
Postal Code
Nature of Employer’s Business:
Does this Application concern: (*If you checked third- party picket, please complete section at the end of the page)
Strike
Lockout
Third-Party Picket
Result of secret ballot strike vote:
Total number of ballots cast:
In favour of strike action:
Opposed to strike action:
Void ballots:
Union Information:
Total number of employees in bargaining unit:
Number of COPE/SEPB members impacted by this action:
No. of Full-Time:
No. of Part-Time:
No. of seasonal workers:
No. of casual workers:
Will strike or lockout take place at a single location or multiple locations?
Single location
Multiple locations
Is the certification provincial of federal?
Provincial
Federal
Will picket locations be in one province or multiple provinces?
One province
Multiple provinces
If you checked multiple provinces, please list them below:
Contract Information:
Date of contract expiration:
MM slash DD slash YYYY
Date of expected strike:
MM slash DD slash YYYY
Does the Local Union's constitution require the Executive Board approval?
Yes
No
If you checked yes, please provide date of such approval:
MM slash DD slash YYYY
Was mediation or conciliation used in this dispute?
Yes
No
Provide brief description of unresolved issues that have brought you to impasse:
Is this a rotating strike (one day at a time activity)?
Yes
No
Third-Party Picket Support Only
Which union(s) are on strike or locked out:
Contact information for the union(s) we are supporting:
Third Party Picket certification:
Provincial
Federal
Are the unions involved members of the CLC, FTQ and/or a Federation of Labour?
Yes
No
Are there other unions impacted by this picket?
Yes
No
If you answered yes to the previous question, please list the unions impacted by this picket:
Has the Local Union explained the rules and regulations of the National Defence Fund to the members?
Yes
No
The Local Union is responsible for making a declaration of the members who are eligible to receive payment by the National Union and their amount of payment. ***By signing this document, I declare that I have read and understood the Regulations of the Defence Fund.
Name of Local President
First Name
Last Name
Ranking Officer Title
Address
Postal Address
City
Province
Postal Code
Phone (Home)
Phone (Union)
Phone (Work)
Cell
Email
*
Signature
*
Comments
This field is for validation purposes and should be left unchanged.
