Form Nlrb 4701 PDF Details

The National Labor Relations Board (Nlrb) recently released a new form, Form 4701, which employers should use to report information about employees who have been released or transferred during a union organizing campaign. The form was developed in response to recent changes in the law that provide greater protections for employees involved in union campaigns. Employers who fail to file the form may be subject to penalties. The form is available on the Nlrb's website.

QuestionAnswer
Form NameForm Nlrb 4701
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesnational relations notice, nlrb form national, how to form 4701, nlrb forms

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FORM NLRB-4701 (9-03)

NATIONAL LABOR RELATIONS BOARD

NOTICE OF APPEARANCE

AND

TO: (Check One Box Only1

REGIONAL DIRECTOR

EXECUTIVE SECRETARY

 

NATIONAL LABOR RELATIONS BOARD

 

Washington, DC 20570

CASE

GENERAL COUNSEL

NATIONAL LABOR RELATIONS BOARD Washington, DC 20570

THE UNDERSIGNED HEREBY ENTERS APPEARANCE AS REPRESENTATIVE OF ____________________________________

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________

IN THE ABOVE-CAPTIONED MATTER.

CHECK THE APPROPRIATE BOX(ES) BELOW:

REPRESENTATIVE IS AN ATTORNEY

IF REPRESENTATIVE IS AN ATTORNEY, IN ORDER TO ENSURE THAT THE PARTY MAY RECEIVE COPIES OF CERTAIN DOCUMENTS OR CORRESPONDENCE FROM THE AGENCY IN ADDITION TO THOSE DESCRIBED BELOW, THIS BOX MUST BE CHECKED. IF THIS BOX IS NOT CHECKED, THE PARTY WILL RECEIVE ONLY COPIES OF CERTAIN DOCUMENTS SUCH AS CHARGES, PETITIONS AND FORMAL DOCUMENTS AS DESCRIBED IN SEC. 11842.3 OF THE CASEHANDLING MANUAL.

(REPRESENTATIVE INFORMATION)

NAME: ____________________________________________________________________________________________________________

MAILING ADDRESS:________________________________________________________________________________________________

_____________________________________________________________________________

E-MAIL ADDRESS:__________________________________________________________________________________________________

OFFICE TELEPHONE NUMBER:______________________________________________________________________________________

CELL PHONE NUMBER:____________ _________________________FAX:__________________________________________

SIGNATURE:_______________________________________________________________________________________________________

(Please sign in ink.) DATE:_____________________________________________________________________________________________________________

1IF CASE IS PENDING IN WASHINGTON AND NOTICE OF APPEARANCE IS SENT TO THE GENERAL COUNSEL OR THE EXECUTIVE SECRETARY, A COPY SHOULD BE SENT TO THE REGIONAL DIRECTOR OF THE REGION IN WHICH THE CASE WAS FILED SO THAT THOSE RECORDS WILL REFLECT THE APPEARANCE.

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Stage number 1 for filling in form 4701

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NAME MAILING ADDRESS EMAIL, TO Check One Box Only REGIONAL, and REPRESENTATIVE INFORMATION in form 4701

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The right way to prepare form 4701 portion 3

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