Form Nlrb 5081 PDF Details

The National Labor Relations Board (NLRB) is an independent federal agency that protects the rights of private sector employees to join together, with or without a union, to improve their working conditions. The NLRB endeavors to resolve labor disputes through negotiation and mediation. Form 5081 is a document used by the NLRB to investigate allegations of unfair labor practices. This form can be used by an employee, a union, or management to file a charge alleging that someone has violated the National Labor Relations Act (NLRA). Today we'll take a closer look at form 5081 and discuss how to fill it out properly. Stay tuned!

QuestionAnswer
Form NameForm Nlrb 5081
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesquestionnaire business commerce, information indicate commerce pdf, questionnaire form did, information form nlrb

Form Preview Example

PLEASE REVIEW THE FOLLOWING

IMPORTANT INFORMATION BEFORE FILLING OUT A QUESTIONNAIRE ON COMMERCE INFORMATION FORM!

∙Please call the Board Agent to whom the pending charge or petition is assigned for assistance in completing the questionnaire on commerce information form. The Agent will be happy to answer your questions about the information requested on the form. This form should be completed by your representative best qualified to give information concerning the legal status, revenues, as well as, operations of your business.

∙In Questions 3, 4, 5 and 6, please provide all information requested including applicable zip codes and suite numbers.

∙Under Questions 10A through F, check the appropriate box for question. If you are required to indicate a dollar amount in Questions 10A through F, do so in the box to the immediate right of the question. If the information requested under Questions 10 through E is not applicable to your business, state the same in the box to the immediate right of the question.

∙After completing the questionnaire on commerce information form, be sure that the authorized representative completing the questionnaire on commerce signs and dates the questionnaire and mails, faxes or hand delivers the completed questionnaire to the appropriate Regional Office.

∙The information provided in the questionnaire on commerce information should be based on your business records reflecting the total yearly amount of business done by your enterprise or the yearly amount of your sales or of your purchases.

∙Be sure to include the telephone number of the party best qualified to provide further information concerning the operations of your business.

∙The completed questionnaire on commerce information should be submitted to the Board Agent to whom the pending charge or petition is assigned. If charges or petitions are pending in two or more Regions, a Board Agent to whom any of the pending charge or petition is assigned will be happy to assist you in locating the appropriate Regional Office in which to file the questionnaire on commerce

information.

INTERNET

NATIONAL LABOR RELATIONS BOARD

FORM EXEMPT

FORM NLRB-5081

UNDER 44

QUESTIONNAIRE ON COMMERCE INFORMATION

(2-08)

U.S.C. 3512

Please read carefully. Answer all applicable items and return to the Regional Office. If additional space is required, use plain bond paper and identify item number.

CASE NAME

CASE NUMBER

 

1. TYPE OF BUSINESS

 

 

 

 

 

 

 

 

[

] CORPORATION

 

[ ] PARTNERSHIP

 

[ ] SOLE PROPRIETORSHIP

 

 

 

 

 

 

 

 

 

2. CLASSIFICATION WHICH DESCRIBES YOUR BUSINESS

 

 

 

 

 

 

[

] WHOLESALING

[

] NEWSPAPER

[

] OFFICE OF INDUSTRIAL BUILDING

[

] RETAIL

 

 

[

] HOSPITAL

[

] HOTEL - MOTEL

[

] MANUFACTURING/PROCESSING

[

] SERVICE ORGANIZATION

 

 

[

] TRUCKING

[

] PUBLIC UTILITY

[

] BROADCASTING STATION

[

] NURSING HOME

 

 

[

] TRANSIT SYSTEM

[

] BUILDING AND CONSTUCTION

[

] OTHER (Describe)

 

 

 

 

 

 

 

 

 

 

 

 

 

3.EXACT LEGAL TITLE OF FIRM

4.IF A CORPORATION

A. INCORPORATED IN

 

B. NAME(S) AND ADDRESS(ES) OF PARENT, SUBSIDIARY, OR RELATED CORPORATION, IF ANY, AND DESCRIBE RELATIONSHIP.

 

STATE OF:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.IF A PARTNERSHIP

FULL NAME AND COMPLETE ADDRESS OF ALL PARTNERS.

6.IF A PROPRIETORSHIP

FULL NAME AND COMPLETE ADDRESS OF PROPRIETOR.

7.BRIEFLY DESCRIBE THE NATURE OF YOUR BUSINESS (General products handled or manfactured, or nature of services performed).

8. PRINCIPAL PLACE OF BUSINESS LOCATED AT:

BRANCH(ES) LOCATED AT:

9. NUMBER OF PERSONNEL PRESENTLY EMPLOYED BY YOUR FIRM

A. TOTAL

 

 

B. AT THE ADDRESS INVOLVED IN THIS PROCEEDING.

 

 

 

 

 

 

 

 

 

 

 

 

10. DURING THE PAST [

] CALENDAR, [ ] FISCAL YEAR (If Fiscal Year indicate dates) OR [ ] LAST 12 MONTHS (Check appropriate box):

 

A. DID GROSS REVENUE FROM SALES OR PERFORMANCE OF SERVICES DIRECTLY TO CUSTOMERS OUTSIDE THE STATE

 

EXCEED $50,000

[

] YES

[

] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

B.

DID GROSS AMOUNT OF PURCHASES OF MATERIALS OR SERVICES DIRECTLY FROM OUTSIDE THE STATE

 

 

EXCEED $50,000

[

] YES

[

] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

C.DID GROSS REVENUE FROM YOUR SALES OR PERFORMANCE OF SERVICES EQUAL OR EXCEED $50,000 TO FIRMS WHICH DIRECTLY MADE SALES TO CUSTOMERS OUTSIDE THE STATE AND/OR TO CUSTOMERS WHICH MADE

PURCHASES FROM DIRECTLY OUTSIDE THE STATE [ ]YES

[ ]NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

D.IF THE ANSWER TO 10(C) IS NO, DID GROSS REVENUE FROM SALES OR PERFORMANCE OF SERVICES EQUAL OR EXCEED $50,000 TO PUBLIC UTILITIES, TRANSIT SYSTEMS, NEWSPAPERS, HEALTH CARE INSTITUTIONS, BROADCASTING STATIONS,

COMMERCIAL BUILDINGS, EDUCATIONAL INSTITUTIONS AND/OR RETAIL CONCERNS [ ] YES

[ ] NO

IF LESS THAN$50,000 INDICATE AMOUNT

$

E.DID GROSS AMOUNT OF YOUR PURCHASES EQUAL OR EXCEED $50,000 FROM FIRMS WHICH IN TURN, PURCHASED THOSE

GOODS DIRECTLY FROM OUTSIDE THE STATE [ ] YES

[ ] NO

IF LESS THAN $50,000 INDICATE AMOUNT

$

F.GROSS REVENUE FROM ALL SALES OR PERFORMANCE OF SERVICES (Check largest amount which firm equaled or exceeded):

[

]$100,000

[ ]$200,000 [ ]$250,000 [ ]$500,000 [ ]$1,000,000 IF LESS THAN $100,000 INDICATE AMOUNT

$

 

 

 

11. ARE YOU A MEMBER OF, OR PARTICIPATE IN, AN ASSOCIATION OR OTHER EMPLOYER GROUP THAT ENGAGES IN COLLECTIVE BARGAINING?

 

[

] YES

[

] NO

(If yes, give Name and Address of association or group).

 

 

 

 

 

 

 

 

 

 

12. DID FIRM PERFORM NATIONAL DEFENSE WORK DURING THE PERIOD INDICATED IN 10 ABOVE?

[ ] YES

[ ] NO

 

(If Yes, amount of dollar volume and name(s) and address(es) for whom work was performed).

 

 

 

 

 

 

 

 

 

 

$

13. PROVIDE NAME & TITLE OF YOUR REPRESENTATIVE BEST QUALIFIED TO GIVE FURTHER INFORMATION CONCERNING THE OPERATIONS OF YOUR BUSINESS

NAME

 

 

TITLE

 

TELEPHONE NUMBER

 

 

 

 

 

 

 

 

SIGNATURE OR AUTHORIZED REPRESENTATIVE COMPLETING THIS QUESTIONNAIRE

 

 

 

NAME AND TITLE (Type or Print)

 

 

SIGNATURE

 

DATE

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq. The principal use of the information is to assist the National Labor Relations Board (NLRB) in processing representation and/or unfair labor practice proceedings and related proceedings or litigation. The routine uses for the information are fully set forth in the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2006). The NLRB will further explain these uses upon request. Disclosure of this information to the NLRB is voluntary. However, failure to supply the information may cause the NLRB to refuse to process any further a representation or unfair labor practice case, or may cause the NLRB to issue you a subpoena and seek enforcement of the subpoena in federal court.

How to Edit Form Nlrb 5081 Online for Free

When you wish to fill out form nlrb 5081, you won't need to download any software - simply make use of our PDF editor. To make our tool better and more convenient to utilize, we consistently work on new features, taking into consideration suggestions coming from our users. This is what you'll have to do to start:

Step 1: Press the "Get Form" button above. It will open our pdf editor so that you could start filling out your form.

Step 2: The tool allows you to change PDF files in various ways. Change it with personalized text, correct what's originally in the file, and add a signature - all manageable within minutes!

This PDF form will need particular info to be filled in, thus ensure you take some time to provide what is required:

1. It's essential to fill out the form nlrb 5081 accurately, thus be mindful when filling in the segments containing all of these fields:

Part # 1 in filling in questionnaire form did

2. Once your current task is complete, take the next step – fill out all of these fields - A TOTAL, B AT THE ADDRESS INVOLVED IN THIS, DURING THE PAST, CALENDAR, FISCAL YEAR If Fiscal Year, LAST MONTHS Check appropriate box, DID GROSS REVENUE FROM SALES OR, IF LESS THAN INDICATE AMOUNT, YES, DID GROSS AMOUNT OF PURCHASES OF, IF LESS THAN INDICATE AMOUNT, YES, DID GROSS REVENUE FROM YOUR SALES, IF LESS THAN INDICATE AMOUNT, and YES with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

How one can prepare questionnaire form did step 2

3. Completing NAME, TITLE, TELEPHONE NUMBER, NAME AND TITLE Type or Print, SIGNATURE, DATE, SIGNATURE OR AUTHORIZED, Solicitation of the information on, and PRIVACY ACT STATEMENT is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Completing part 3 in questionnaire form did

Always be really careful when filling in SIGNATURE OR AUTHORIZED and SIGNATURE, because this is the section in which many people make a few mistakes.

Step 3: Once you've looked over the details you given, simply click "Done" to conclude your form. Acquire the form nlrb 5081 as soon as you register online for a free trial. Easily get access to the pdf document inside your personal cabinet, together with any edits and adjustments being conveniently synced! If you use FormsPal, you can certainly fill out documents without worrying about personal data incidents or data entries getting distributed. Our protected software makes sure that your private information is maintained safely.

Form Nlrb 5081 isn’t the one you’re looking for?

Related Documents