How to Fill Out Form NLRB-501

Form NLRB-501 at a glance

What it is: Form NLRB-501, the Charge Against Employer of the National Labor Relations Board (NLRB), assists the NLRB in processing unfair labor practice and related proceedings or litigation.

Where and when to file: • A charge should be filed with the Regional Office which has jurisdiction over the geographic area of the United States where the unfair labor practice occurred.

• The NLRB's Rules and Regulations state that it is the responsibility of the individual, employer or union filing a charge to timely and properly serve a copy of the charge on the person, employer or union against whom such charge is made.

A filled-in Form NLRB-501 example: an employee files a charge after a discharge

Form NLRB-501 example filled out, example: an employee files a charge after a discharge
Dana Rivers, an employee, files Form NLRB-501 against an employer. The bakery discharged Dana in March 2026, so Dana files within six months with the Regional Office. The picture shows page 2 only and every value in it is made up. Dana is not a labor organization, so the national or international labor organization box stays empty. The Case and Date Filed boxes stay empty because they are in the space marked do not write. The form already prints section 8(a), subsection (1), and the story gives no more, so the list subsections box stays empty.

How to fill out Form NLRB-501, box by box

Employer against whom charge is brought

Form NLRB-501 example filled out, employer against whom charge is brought

In 1, EMPLOYER AGAINST WHOM CHARGE IS BROUGHT, enter the Name of Employer, Tel. No., Cell No., Fax. No., Address (Street, city, state, and ZIP code), Employer Representative and e-mail.

Number of workers, type of establishment and principal product or service

Form NLRB-501 example filled out, number of workers, type of establishment and principal product or service

Enter the Number of workers employed, the Type of Establishment (factory, mine, wholesaler, etc.) and Identify principal product or service.

Unfair labor practices within the meaning of section 8(a)

Form NLRB-501 example filled out, unfair labor practices within the meaning of section 8(a)

In "The above-named employer has engaged in and is engaging in unfair labor practices within the meaning of section 8(a), subsections (1) and (list subsections) of the National Labor Relations Act", list subsections.

Basis of the Charge

Form NLRB-501 example filled out, basis of the Charge

Set forth a clear and concise statement of the facts constituting the alleged unfair labor practices.

The section of the charge form called, "Basis of Charge," seeks only a brief description of the alleged unfair labor practice. You should NOT include a detailed recounting of the evidence in support of the charge or a list of the names and telephone numbers of witnesses.

Party filing charge

Form NLRB-501 example filled out, party filing charge

In 3, enter the Full name of party filing charge (if labor organization, give full name, including local name and number).

In 4, enter the Address (Street and number, city, state, and ZIP code), Tel. No., Cell No., Fax No. and e-mail.

Labor organization

Form NLRB-501 example filled out, labor organization

In 5, enter the Full name of national or international labor organization of which it is an affiliate or constituent unit (to be filled in when charge is filed by a labor organization).

Declaration

Form NLRB-501 example filled out, declaration

By signing, you declare that you have read the charge and that the statements are true to the best of your knowledge and belief.

In 6, DECLARATION, sign on the line for the signature of representative or person making charge, print or type the name and title or office, if any, and enter the Tel. No., Office, if any, Cell No., Fax No., e-mail, Address and Date.

WILLFUL FALSE STATEMENTS ON THIS CHARGE CAN BE PUNISHED BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001). Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq.

More rules for Form NLRB-501

After completing the charge form, be sure to sign and date the charge and mail or deliver the completed form to the appropriate Regional Office.

Please call an Information Officer in the Regional Office nearest you for assistance in filing a charge.

Do not write in the space for Case and Date Filed.

Common questions about Form NLRB-501

Is there a deadline?

• By statute, only charges filed and served within six (6) months of the date of the event or conduct, which is the subject of that charge, will be processed by the NLRB.

Where do I file it?

INSTRUCTIONS: File an original with NLRB Regional Director for the region in which the alleged unfair labor practice occurred or is occurring.

When is this form not the right one?

Not every workplace action that you may view as unfair constitutes an unfair labor practice within the jurisdiction of the National Labor Relations Act (NLRA).

Sources

[1] Form NLRB-501 (10-24), Charge Against Employer, National Labor Relations Board (the Official source link on this page).

Nlrb Form 501 PDF Details

Stepping into the world of labor relations, individuals and unions find the NLRB 501 form to be a critical document that bridges gaps and ensures clear communication between parties. This form, pivotal in the landscape of labor law, serves as a formal notification to an employer that a labor organization is asserting its right to represent employees for collective bargaining purposes. It is the starting point for a series of procedures designed to establish or challenge representation rights, making its accurate completion and timely submission essential. Furthermore, the NLRB 501 form plays a vital role in the preservation of workers' rights and the maintenance of fair labor practices, acting as an instrument through which the balance of power can be measured and adjusted. Its significance cannot be understated, as it not only facilitates a formal dialogue between workers and employers but also underlines the legal framework designed to protect the interests of both parties.

QuestionAnswer
Form NameNlrb Form 501
Form Length2 pages
Fillable?Yes
Fillable fields29
Avg. time to fill out30 sec
Other namesform nlrb 501, nlrb charge form, nlrb complaint form, file nlrb charge