The Perc 15 form serves as a critical tool for addressing disputes between public employees and their employers in the State of Florida. When a public employee, or their representative, believes that an employer has engaged in unfair labor practices, this form offers a formal avenue for voicing those concerns. It requires the charging party to provide detailed information, including their name, contact details, and the specifics of the unfair labor practice allegations against the employer. Additionally, the form mandates the inclusion of sworn statements and, when relevant, documentary evidence to support the accusations presented. However, this supplementary evidence is not attached directly to the Perc 15 form nor is it required to be shared with the opposing party at the time of filing. This process underlines the importance of transparency and due diligence in labor dispute resolution, ensuring that both the Public Employees Relations Commission (PERC) and the accused employer receive a fair opportunity to understand and respond to the charges. As a mechanism designed to uphold the integrity of labor relations within the public sector, the Perc 15 form embodies the procedural and ethical standards expected in these matters, aligning with Florida's broader legislative framework aimed at protecting the rights and interests of public employees.
| Question | Answer |
|---|---|
| Form Name | Perc Form 15 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | Form 15 Charge Against Employer florida state employees form 15 |
STATE OF FLORIDA
PUBLIC EMPLOYEES RELATIONS COMMISSION
4050 Esplanade Way
Tallahassee, Florida
(850)
CHARGE AGAINST EMPLOYER
INSTRUCTIONS:
Do Not Write In This Box
CASE NUMBER
CA-
DATE FILED
Submit an original and one (1) copy of this charge to the Public Employees Relations Commission along with proof of simultaneous service upon the other parties. (NOTE: The charge must be accompanied by sworn statements(s), and where applicable, documentary evidence in support of the allegations of the charge. Such supporting evidence and documentary evidence is NOT to be attached to the charge and need not be served upon the other parties.)
The Charging Party alleges that the public employer or its agents named below have engaged in (an) unfair labor practice(s). Charging Party requests the Public Employees Relations Commission to process this charge under its proper authority.
1.NAME OF CHARGING PARTY:
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Facsimile(Fax) No. |
Address:
Zip Code
2.CHARGING PARTY REPRESENTATIVE: Title:
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Facsimile(Fax) No. |
Address:
Zip Code
3.NAME OF EMPLOYER: Address:
Zip Code
4.EMPLOYER REPRESENTATIVE: Title:
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Facsimile(Fax) No. |
Address:
Zip Code
5.The
447.501(1)(a) and |
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, Florida Statutes. |
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(list sections) |
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PERC Form 15
Page 1 of 2 (Rev. 12/04)
6.BASIS OF CHARGE: (Specify facts, names, places, dates, etc. If more space is needed, attach additional pages.)
I have read the charge. The statements contained therein are true to the best of my knowledge and belief. A copy of this fully executed form has been mailed or delivered to the representative(s) of the employer and any other party.
Signature of Charging Party Representative |
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NOTARY STATEMENT: |
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STATE OF FLORIDA COUNTY OF |
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Sworn to and subscribed before me this |
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by |
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(name of person making statement) |
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(Notary Public Signature) |
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My Commission Expires: |
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Personally Known |
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OR Produced Identification |
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Type of Identification Produced
FALSE STATEMENTS MAY RESULT IN FINE AND IMPRISONMENT
PURSUANT TO CHAPTER 837, FLORIDA STATUTES
PERC Form 15
Page 2 of 2 (Rev. 12/04)