THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

DEPARTMENT OF LABOR RELATIONS Answer all applicable que Stions. INSTRUCTIONS: Note: Pursuant to 456 CMR 15.04, of M.G.L. c.150E, 13 and 14. the OLR will not issue of the charge. Failing to provide information may result in the dismissal a complaint unless TIS AUfSSE. Ato party has with complied the applicable Address (atreet and No., cityltown, state, and ZIP code) 3. tos: Aa: (bmbr Ae, Ess 7. Representative 6.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DO NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR PRACTICE M.G.L. .150E Case No.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH DQ NOT WRITEIN THIS SPACE OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS M.G.L. c.150 INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR Cty of 6. Employee Organization Jamre C1? 24 UE R2 5. Fax Number Ate St HS ARAL: MSSCLS Lee apy Address (street and No., city/town, state, and ZIP code) 11. This charge is filed against (check one) L] 12. Employer Min ma ees (EmbrihsIe, N34 7. Representative (if any): [8.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH DQ NOT WRITE IN THIS SPACE OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS OF PROHIBITED M.G.L. c.150E CHARGE INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR 15.04, the OLR Case No.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE DO NOT WRITE IN THIS SPACE Case No. Date Filed Mupl-IS-4403 0.3-2Y-(& M.G.L. c.150E INSTRUCTIONS: Answer all applicable questions.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE M.G.L. . INSTRUCTIONS: Answer all applicable questions.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DQ NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE Case No. M.G.L. .150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR a Date Filed MUP--15-- YY0GO3B 15.04, the DLR will not issue a complaint unless the charging party has complied with the applicable provisions G.L. c.150E, 13 and 14. Employer a \y 3. o& Conor Ane 2. Representative to contact 4.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DO NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED M.G.L. c.150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR PRACTICE Case No.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DO NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED M.G.L. c.150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR PRACTICE Case No.

THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARLES F. HURLEY BUILDING 19 STANIFORD STREET 1s FLOOR, BOSTON, MA 02114 CHARLES D. BAKER EMAIL: EFILE.DLR@STATE.MA.US COMMONWEALTH EMPLOYMENT. RELATIONS BOARD GOVERNOR TELEPHONE: (617) 626-7132 MARVORIE F. WITTNER KARYN E. POLITO LIEUTENANT GOVERNOR FAX: (617) 626-7157 www.mass.gov/dir CHAIR ERICA F.

COMMONWEALTH OF MASSACHUSETTS DO NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED M.G.L. INSTRUCTIONS: Answer all applicable questions.