Public Service Labour Relations Board
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Public Service Labour Relations Act — Forms

Notice

The Public Service Labour Relations Board and adjudicators render quasi-judicial decisions on various labour relations matters within the federal public service. In writing their decisions, they are careful to include only personal information that is relevant and necessary for their reasons. As their decisions are accessible to the public, they are posted on our website. We have, nevertheless, taken measures to prevent Internet search engines (e.g., Google and Yahoo) from accessing the full text of those decisions. More information is available on these web pages: pslrb.gc.ca/faq/pslrb_e.asp and pslrb.gc.ca/notices_e.asp.

These forms are being offered as an online service and are available in PDF only.

Where applicable, forms should be sent to:

Executive Director
Public Service Labour Relations Board
P.O. Box 1525, Station B
Ottawa ON  K1P 5V2
Canada
Link to
form
Description Fillable version
help
Supplementary forms
Form 1 Application for Certification (Section 23) 1 fillable Question 1
Question 2
Form 2 Reply to an Application for Certification (Section 26) 2 fillable Question 7
Form 3 Application for Intervention in an Application for Certification (Section 27) 3 fillable
Form 4 Statement of Opposition (Sections 28 And 40) 4 fillable Question 1
Signatures
Form 5 Application for Revocation of Certification (Section 36) 5 fillable Question 1
Form 6 Reply to Application for Revocation of Certification (Subsection 39(1)) 6 fillable
Form 7 Choice of Dispute Resolution Process (Section 46) 7 fillable
Form 8 Request for Arbitration (Section 47) 8 fillable
Form 9 Proposal Concerning a Request for Arbitration or Request for Arbitration of Additional Matters (Section 48) 9 fillable
Form 10 Proposals Concerning a Request for Arbitration of Additional Matters (Section 49) 10 fillable
Form 11 Request for Conciliation (Section 51) 11 fillable
Form 12 Proposals Concerning a Request for Conciliation or Request for Conciliation of Additional Matters (Section 52) 12 fillable
Form 13 Proposals Concerning a Request for Conciliation of Additional Matters (Section 53) 13 fillable
Form 14 Statement Respecting a Strike Vote (Section 54) 14 fillable
Form 15 Application for a Declaration that a Strike Vote is Invalid (Section 55) 15 fillable
Form 16 Complaint Under Section 190 of the Act (Section 57) 16 fillable

Question 1
Question 2

Form 17 Application for a Declaration that Conduct is Unlawful (Section 58) 17 fillable Question 2
Form 18 Application for Consent to Prosecute (Section 60) 18 fillable Question 1
Question 2
Form 19 Consent of Aggrieved Employees to the Presentation of a Group Grievance (Subsection 77(2))

Please note that Form 19 must accompany Form 22 in order for group grievances to be processed.

19 fillable Signatures
Form 20 Notice of Reference to Adjudication of an Individual Grievance - Interpretation or Application of a Provision of a Collective Agreement or an Arbitral Award (Subparagraph 89(1)(a)(i)) 20 fillable
Form 21 Notice or Reference to Adjudication of an Individual Grievance - Termination, Demotion, Suspension, Financial Penalty or Deployment (Subparagraph 89(1)(a)(ii)) 21 fillable
Form 22 Notice of Reference to Adjudication of a Group Grievance (Paragraph 89(1)(b))

Please note that Form 22 must be accompanied by Form 19 in order for group grievances to be processed.

22 fillable
Form 23 Notice of Reference to Adjudication of a Policy Grievance (Paragraph 89(1)(c)) 23 fillable
Form 24 Notice to the Canadian Human Rights Commission (Subsection 92(1)) 24 fillable
Form 25 Notice of Intention of the Canadian Human Rights Commission (Subsection 93(1)) 25 fillable
Form 26 Complaint Under Section 133 of the Canada Labour Code 26 fillable