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Va Form 02-05 Notice To Arbitrate

This document is a Notice to Arbitrate form that notifies a party of the intent to submit an unresolved issue to voluntary arbitration according to the terms of a Collective Bargaining Agreement. The form provides space to describe the specific issues in dispute, the relief sought, and identifies the initiating party, arbitrator, and requests that arbitration proceedings commence.

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ian clark Marinduque
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162 views1 page

Va Form 02-05 Notice To Arbitrate

This document is a Notice to Arbitrate form that notifies a party of the intent to submit an unresolved issue to voluntary arbitration according to the terms of a Collective Bargaining Agreement. The form provides space to describe the specific issues in dispute, the relief sought, and identifies the initiating party, arbitrator, and requests that arbitration proceedings commence.

Uploaded by

ian clark Marinduque
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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VA FORM 02-05 - Notice to Arbitrate Form

NOTICE TO ARBITRATE
Form 02-05

Date:

TO : (NAME)
(name of party upon whom the Notice is made)
(ADDRESS)

Telephone Number/s Fax Number/s

Pursuant to the arbitration clause of our existing Collective Bargaining Agreement (copy
attached), the undersigned party decided to submit for voluntary arbitration the unresolved
issue/s.

SPECIFIC ISSUES/DISPUTE TO BE ARBITRATED (please provide particulars of the dispute)


______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

RELIEF SOUGHT (please state the result the initiating party is requesting)
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________

You are hereby notified that copies of our voluntary arbitration agreement as contained in our
CBA and of this Notice to Arbitrate are filed with ___________________________________
_____________________ (name of voluntary arbitrator named in the CBA) and/or at the National
Conciliation and Mediation Board-Regional Branch _______ with the request that it commence
the arbitration proceedings or selection and appointment of voluntary arbitrator.

NAME OF
INITIATING PARTY
REPRESENTED BY POSITION/TITLE :

ADDRESS

TELEPHONE FAX

Signature over Printed Name

Please send two (2) copies of this Notice to Arbitrate to the Voluntary Arbitrator named in the CBA
and/or the NCMB Regional Branch, as provided under Section 3, Rule XIX, Department Order No.
40-03. Send original copy of the Notice to Respondent.

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