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. .150E INSTRUCTIONS: Answer all applicable quest ions. Note: Pursuant to 456 CMR PRACTICE 3. WNYDLAS 4413 0 3->Y 4 4 15.04, the OLR will not issue a Complaint unless the charging party has complied with the applica ble provisions & CThy OF (Anion?

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 PRACTICE M.G.L. .150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR 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 M.G.L. c.150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR DO NOT WRITE IN THIS SPACE 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 DO NOT WRITE IN THIS SPACE Case No. CHARGE OF PROHIBITED PRACTICE M.G.L. .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 __DOQ 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 DQ NOT WRITE IN THIS SPACE DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE Case No. M.G.L. c.150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR YU ~LA 2. Representative to contact _ C by . Address (street and No., city/town, state, and ZIP code) Cambvielat 145 Masswchusetts 6. Employee aie Wve Teauctics locgl 28 Mal st Posbon This charge is filed against (check one) L 12.

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. PRACTICE Case No. Date Filed MUCLAS -4YQ3\0 oe all Failing to provide information may result in the dismissal of the charge.

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 Case No. 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. c.150E INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR DO NOT WRITE IN THIS SPACE 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 INSTRUCTIONS: Answer all applicable questions. Note: Pursuant to 456 CMR Case No. PRACTICE OF PROHIBITED M.G.L. c.150E Date Filed MVYPL-1S APTVIZ-X-9TS 5 Failing to provide information may result in the dismissal of the charge. 15.04, the DLR will not issue a complaint unless the charging party has complied with the applicable provisions of M.G.L. .150E, 13 and 14. 1.