TLM-1b -5A5> Page | of 2 re Joe [9 errors have occurred THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS JOINT LABOR MANAGEMENT COMMITTEE JLMC PETITION FOR EXERCISE OF JURISDICTION EMPLOYER ~ 2, Telephone Number XXX-XXX-XXXX Avalue is required, ~ 4.Name A value is required. [Town of Pembroke w 3. Address * [781-293-3844 w (street and No. @ 4.

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.

Commonwealth of Massachusetts DEPARTMENT OF LABOR RELATIONS PETITION FOR MEDIATION AND FACT-FINDING IN PUBLIC EMPLOYMENT CAs F - 5-19 -W16L6 pare- OA-13-17 LABOR ORGANIZATION ~ 2, Telephone Numbor v {Massachusetts Teacher Association ; 3. Addross _ 188 East Street, Suite 201 @ 4. Cltyitawn a (Stato MA\ ~~ | Pittefeta 6.ZIP Code 01201 | 7.

Commonwealth of Massachusetts Department of Labor Relations 19 Staniford Street, 1st Floor Boston, MA 02114 Direct: 617.626.7136 Fax: 617.626.7157 www.mass.gov/dir This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure, or distribution is strictly prohibited and may be the subject of legal action.

COMMONWEALTH DO NOT WRITE IN THIS SPACE OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE M.G.L. .150E INSTRUCTIONS: Answer all applicable questions. Date Filed ; Mul-14-3B IL 06 - Ana Case No. Failing to provide information may result in the dismissal of the charge.

COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE M.G.L. c.150E Case No. Date Filed MUP-20-8335 11/30/2020 INSTRUCTIONS: Answer all applicable questions. Failing to provide jnformation may result in the dismissal Of the charge. Note. Pursuant to 456 CMR 15.04, the DLR will not issue a complaint unless the charging party has complied with tlie applicable provisions of M.G.L. a.150E, 13 and 14. 1.

COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE M.G.L. c.150E DO NOT WRITE IN THIS SPACE Case No. Date Filed SUP-21-8692 06/16/2021 INSTRUCTIONS: Answer all applicable questions. Failing to provide information may result in the dismissal of the charge.

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

COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF LABOR RELATIONS CHARGE OF PROHIBITED PRACTICE M.G.L. c.150E DO NOT WRITE IN THIS SPACE Case No. Date Filed MUP-21-8758 07/30/2021 INSTRUCTIONS: Answer all applicable questions. Failing to provide information may result in the dismissal of the charge.

Jum-aAaiTHE COMMONWEALTH OF MASSACHUSETTS JOINT LABOR-MANAGEMENT COMMITTEE [ a-/S al PETITION FOR EXERCISE OF JURISDICTION INSTRUCTIONS: Submit the original of this Petition to the Joint Labor-Management Committee, Department of Labor Relations, Lafayette City Center, 2 Avenue de Lafayette, Boston ofiled!"@mess.gov . Petition must be filled out completely to be processed. PLEASE PRINT OR TYPE Name and Address of Labor Organization Internatioenn!