Mr. Casper M. Bloom
Chairperson
Public Service Labour Relations Board
C.D. Howe Building
240 Sparks Street
West Tower, 6th floor
P.O. Box 1525, Station B
Ottawa ON K1P 5V2
BY FAX: 613-990-6685
Dear Chairperson,
Following a conversation with [ name of contact person at PSLRB ], we are requesting the services of a PSLRB mediator to help us resolve a sensitive issue within our organization.
Please note that both parties are willing to try to resolve this issue through mediation.
| Signature for management | Signature for the union |
| Telephone number | Telephone number |