Parliamentary Employment and Staff Relations Regulations (SOR/86-1140)
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Regulations are current to 2024-10-14 and last amended on 2017-06-19. Previous Versions
SCHEDULE(Sections 15, 16, 21, 24 and 26, subsection 27(1), sections 42, 45 and 50 and subsections 51(1), 67(1), 78(1) and 80(1))
FORMS 1 AND 2
[Repealed, SOR/2014-252, s. 31]
FORM 3(Sections 15 and 16)Parliamentary Employment and Staff Relations Act
Complaint Under Section 13 of the Act
Before the Federal Public Sector Labour Relations and Employment Board
NOTICE: Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.
(if necessary, attach additional pages of same size of paper)
- 1Complainant, name and address:
Respondent, name and address:
- 2The complainant complains that
Footnote *(a) the employer,
Footnote *(b) a person acting on behalf of the employer,
Footnote *(c) an employee organization,
Footnote *(d) a person acting on behalf of an employee organization,
Return to footnote *Strike out items not applicable.
has failed to: (state nature of failure complained of, specifying relevant section of the Act, provision of arbitral award, decision of adjudicator or regulation respecting grievances)
- 3The complainant requests that the Board issue the following order: (state relief sought under subsection 13(2) of the Act)
- 4The following is a concise statement of each act or omission complained of: (Give dates and names of persons involved)
- 5The following steps have been taken by or on behalf of the complainant for the adjustment of the matters giving rise to the complaint:
- 6Other matters considered relevant:
Dated at , this day of , 20
(signature of complainant)
NOTE: Failure to complete this form by setting out all the particulars may cause delay in the processing of this complaint.
FORM 4(Section 21)Parliamentary Employment and Staff Relations Act
Application for Certification
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name and address:
Employer, name and address:
- 2If the applicant is a council of employee organizations, state the name and address of each constituent employee organization:
- 3Detailed description of the unit of employees of the employer that the applicant proposes as appropriate for collective bargaining:
- 4The grounds on which the applicant intends to rely in support of its proposal that the bargaining unit described in section 3 is appropriate:
- 5Estimated number of employees in the proposed bargaining unit:
- 6The name and address of any employee organization that has been certified as bargaining agent for any of the employees in the unit proposed in section 3:
- 7Other matters considered relevant in support of this application:
Dated at , this day of , 20 and signed on behalf of the applicant by,
(signature)
(office held in employee organization)
NOTE: Your attention is drawn to section 36 of the Parliamentary Employment and Staff Relations Regulations. Subsection 36(1) provides that an application for certification shall be accompanied by the documentary evidence on which the applicant intends to rely in whole or in part to satisfy the Board that a majority of employees in the proposed bargaining unit wish the applicant to represent them as their bargaining agent. Subsection 36(2) provides that any documentary evidence that does not accompany the application shall be filed on or before the terminal date.
Declaration
I declare that the answers and information contained in this application are true in substance and in fact. I further declare that I have been duly authorized to make this application. I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.
Declared by
before me at , in the County of , in the Province of , this day of , 20
(signature)
Commissioner or other authorized person
(to be declared before a Commissioner for taking affidavits or any other person authorized by law to administer an oath)
FORM 5
[Repealed, SOR/2014-252, s. 32]
FORM 6(Section 24)Parliamentary Employment and Staff Relations Act
Reply by Employer to Application for Certification
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name:
Employer, name and address:
- 2Indicate the total number of persons in the proposed bargaining unit as described in the application:
- 3If you propose a bargaining unit different from the one proposed by the applicant,
(a) provide a detailed description of the unit of employees that you propose as appropriate for collective bargaining;
(b) provide the grounds on which you intend to rely to show that the bargaining unit described in the application is not appropriate or that the bargaining unit proposed in paragraph (a) is more appropriate than the one proposed by the applicant; and
(c) indicate the total number of persons in the bargaining unit proposed in paragraph (a).
- 4If a proposed bargaining unit described by the applicant or by the employer under paragraph 3(a) consists in whole or in part of employees for whom no employee organization is certified as the bargaining agent, indicate which, if any, of those employees you claim should be excluded from the proposed bargaining unit because you consider them to be persons employed in a managerial or confidential capacity.
- 5Other matters considered relevant:
Dated at , this day of , 20, and signed on behalf of the employer by
(signature)
FORM 7(Section 26)Parliamentary Employment and Staff Relations Act
Intervention
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper))
- 1Applicant, name:
Employer, name:
Intervener, name and address:
- 2The intervener claims to represent (insert number) employees in the bargaining unit described in the application.
- 3The intervener intends to make the following submission at any hearing that may be directed to be held by the Board in the proceeding:
Dated at , this day of , 20, and signed on behalf of the intervener by
(signature)
(office held in employee organization)
NOTE: The intervener’s attention is directed to subsection 27(1) of the Parliamentary Employment and Staff Relations Regulations, which states:
“An employee organization intending to apply for certification as the bargaining agent of any employees who may be affected by an application shall file with the Board in triplicate, not later than the terminal date fixed for the application pursuant to paragraph 20(b), an intervener’s application in Form 8.”
FORM 8(Subsection 27(1))Parliamentary Employment and Staff Relations Act
Application for Certification by Intervener
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name:
Employer, name:
Intervener, name and address:
- 2If the intervener is a council of employee organizations, state the name and address of each constituent employee organization:
- 3(a) Detailed description of the unit of employees of the employer that the intervener proposes as appropriate for collective bargaining:
(b) Estimated number of employees within the proposed bargaining unit referred to in paragraph (a):
- 4If you propose a bargaining unit different from the bargaining unit proposed by the applicant, indicate the grounds on which you intend to rely to show that the bargaining unit described in the application of the applicant is not appropriate or that the bargaining unit you propose is more appropriate than the bargaining unit proposed by the applicant:
- 5Other matters considered relevant in support of this application:
Dated at , this day of , 20, and signed on behalf of the intervener by
(signature)
(office held in employee organization)
NOTE: Your attention is drawn to section 36 of the Parliamentary Employment and Staff Relations Regulations. Subsection 36(1) provides that an application for certification shall be accompanied by the documentary evidence on which the applicant or intervener intends to rely in whole or in part to satisfy the Board that a majority of employees in the proposed bargaining unit wish the applicant or the intervener to represent them as their bargaining agent. Subsection 36(2) provides that any documentary evidence that does not accompany the application shall be filed on or before the terminal date.
Declaration
I declare that the answers and information contained in this application are true in substance and in fact. I further declare that I have been duly authorized to make this application. I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.
Declared by
before me at , in the County of , in the Province of , this day of , 20
(signature)
Commissioner or other authorized person
(to be declared before a Commissioner for taking affidavits or any other person authorized by law to administer an oath)
FORM 9(Section 42)Parliamentary Employment and Staff Relations Act
Application for Revocation of Certification
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name and address:
Bargaining agent, name and address:
- *2Employer, name and address:
Return to footnote *Strike out if applicant is employer
- 3(a) Description of the unit of employees for which the bargaining agent was certified:
(b) Approximate number of employees in the bargaining unit described in paragraph (a):
- 4The section of the Parliamentary Employment and Staff Relations Act under which the applicant claims the certification of the bargaining agent should be revoked:
- 5If the application is made under section 30, 31 or 32 of the Act, a summary of the grounds on which the applicant intends to rely in support of the applicant’s claim that the certification of the bargaining agent should be revoked giving sufficient particulars to enable the bargaining agent to know the case it will be called upon to meet:
Dated at , this day of , 20
(signature)
NOTE: Your attention is drawn to section 43 of the Parliamentary Employment and Staff Relations Regulations. Subsection 43(1) provides that an application for revocation of certification shall be accompanied by the documentary evidence on which the applicant intends to rely in whole or in part to satisfy the Board that the bargaining agent no longer represents a majority of the employees in the bargaining unit. Subsection 43(2) provides that any documentary evidence that does not accompany an the application shall be filed on or before the terminal date.
Declaration
I declare that the answers and information contained in this application are true in substance and in fact. I make this solemn declaration conscientiously believing it to be true, and knowing that it is of the same force and effect as if made under oath, and by virtue of the Canada Evidence Act.
Declared by before me at , in the County of , in the Province of , this day of , 20
(signature)
Commissioner or other authorized person
(to be declared before a Commissioner for taking affidavits or any other person authorized by law to administer an oath)
FORM 10
[Repealed, SOR/2014-252, s. 33]
FORM 11(Section 45)Parliamentary Employment and Staff Relations Act
Reply to Application for Revocation of Certification
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name:
- 2Bargaining agent, name and address:
- 3Employer, name and address:
- 4Estimate the total number of employees in the bargaining unit described in the application:
- 5State the date of certification of the bargaining agent for the bargaining unit described in the application:
- 6Enclose a copy of any collective agreement or arbitral award affecting the employees in the bargaining unit:
- 7Other matters considered relevant:
Dated at , this day of , 20
Footnote *(signature for bargaining agent)
Footnote *(signature for employer)
Return to footnote *Strike out words that are not applicable
FORM 12(Section 50)Parliamentary Employment and Staff Relations Act
Notice of Request for Arbitration Under Section 50 of the Act
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper))
- 1Name and address of the party requesting arbitration:
- 2Name and address of the other party to the dispute:
- 3The bargaining unit in respect of which the request is made:
- 4The date on which notice to commence bargaining collectively was given under section 37 of the Act:
- 5Describe the steps that have been taken, including the dates of meetings that have been held, and the progress that has been made in collective bargaining following the giving of notice to commence bargaining:
- 6Specify the terms and conditions of employment in respect of which arbitration is requested:
- 7State your proposals concerning the award to be made by the Board with respect to the terms and conditions of employment specified in section 6:
- 8Attach a copy of any collective agreement entered into by the parties.
Dated at , this day of , 20
(signature)
NOTE: Under section 53 of the Parliamentary Employment and Staff Relations Regulations, proposals filed in accordance with section 51 or 52 of those Regulations must be filed in both official languages on or before the date set for the hearing of the request for arbitration.
FORM 13(Subsection 51(1))Parliamentary Employment and Staff Relations Act
Notice of Request for Arbitration of Additional Matters Under Section 51 of the Act
Before the Federal Public Sector Labour Relations and Employment Board
(if necessary, attach additional pages of same size of paper))
- 1Name of the party requesting arbitration:
- 2Name of the other party to the dispute:
- 3The bargaining unit in respect of which the request is made:
- 4Specify the terms and conditions of employment that are additional to those specified in Form 12 in respect of which arbitration is requested:
- 5State your proposals concerning the award to be made by the Board with respect to the additional terms and conditions of employment specified in section 4:
- 6State your proposals concerning the award to be made by the Board with respect to the terms and conditions of employment specified in section 6 of Form 12:
Dated at , this day of , 20
(signature)
FORM 14(Subsection 67(1))Parliamentary Employment and Staff Relations Act
Reference to Adjudication
Before the Federal Public Sector Labour Relations and Employment Board
NOTICE: Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.
PART 1(To Be Completed in All Cases)
I, the undersigned, refer a grievance to adjudication under section 63 of the Parliamentary Employment and Staff Relations Act. The particulars are as follows:
- 1LAST OR FAMILY NAME (print in block letters)
- Mr.
- Mrs.
- Miss
- Ms.
- 2FIRST NAME
- 3HOME ADDRESS (no., street, city, province)
- 4HOME PHONE NO.
- 5EMPLOYER
- 6LOCATION
- 7BRANCH OR DIVISION
- 8SECTION OR UNIT
- 9JOB TITLE
- 10JOB CLASSIFICATION
- 11a) Exact date on which the grievance was presented at the first level of the grievance process:
(b) Exact date on which the grievance was presented at the final level of the grievance process:
- 12Exact date on which the employer served on you a reply, if any, at the final level of the grievance process:
- (ATTACH A COPY OF THE ORIGINAL GRIEVANCE)
PART 2(Complete Only if Grievance Does Not Relate to the Interpretation or Application of a Collective Agreement or Arbitral Award)
- Indicate the applicable paragraph of subsection 63(1) of the Parliamentary Employment and Staff Relations Act under which the grievance is being referred to adjudication:
- 63(1)(b) disciplinary action resulting in suspension or a financial penalty
- 63(1)(c) termination of employment
- 63(1)(d) demotion
- 63(1)(e) denial of appointment
- 63(1)(f) classification
NOTE: You do not require the approval or support of your bargaining agent, if any.
You may be represented by your bargaining agent or, if you have no bargaining agent, by any employee organization willing to represent you, or by counsel or other person, or you may represent yourself.
13 NAME, ADDRESS AND PHONE NUMBER OF YOUR REPRESENTATIVE, IF ANY:
- Dated at , this day of , 20
(signature of aggrieved employee)
PART 3(To Be Completed Only if the Grievance Relates to the Interpretation or Application of a Collective Agreement or Arbitral Award)
NOTE: A grievance relating to the interpretation or application of a collective agreement or arbitral award may not be referred to adjudication without the approval and representation of your bargaining agent.
14 NAME OF BARGAINING AGENT:
Dated at , this day of , 20
(signature of aggrieved employee)
15 APPROVAL OF BARGAINING AGENT (TO BE COMPLETED BY AUTHORIZED REPRESENTATIVE OF BARGAINING AGENT)
(a) The parties to the collective agreement or arbitral award are:
(b) The name of the bargaining unit or group in respect of which the collective agreement or arbitral award was made is:
(c) The duration of the collective agreement or arbitral award is from to
(d) The aggrieved employee relies on the following clause(s) of the collective agreement or arbitral award:
(e) Name and address of adjudicator, if any, named in collective agreement:
ON BEHALF OF THE BARGAINING AGENT, I APPROVE OF THE REFERENCE OF THIS GRIEVANCE TO ADJUDICATION AND STATE THAT THE BARGAINING AGENT IS WILLING TO REPRESENT THE EMPLOYEE IN THE ADJUDICATION PROCEEDINGS
- DATE
(signature of authorized representative of bargaining agent)
(office held by authorized representative of bargaining agent)
PART 4Establishment of a Board of Adjudication
The Act provides that a “board of adjudication” may be established, at the expense of the parties, only if the employee so requests and if the employer has no objection. That is the effect of certain provisions in sections 65, 66 and 69 of the Act.
NOTE: If you request that a “board of adjudication” be established, please state the name and address of your nominee (provided that the nominee has no direct interest in the grievance and provided also that the nominee is willing to serve) and sign below.
NAME, ADDRESS AND PHONE NUMBER OF YOUR NOMINEE:
Dated at , this day of , 20
(signature of aggrieved employee)
FORMS 15 AND 16
[Repealed, SOR/2014-252, s. 34]
FORM 17(Subsection 78(1))Parliamentary Employment and Staff Relations Act
Reference Under Section 70 of the Act
Before the Federal Public Sector Labour Relations and Employment Board
NOTICE: Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.
(if necessary, attach additional pages of same size of paper))
- 1Bargaining agent, name and address:
Employer, name and address:
- 2The employer and the bargaining agent
Footnote *(a) have executed the collective agreement
Footnote *(b) are bound by the arbitral award
a copy of which is attached to this reference.
Return to footnote *Strike out words that are not applicable
- 3The Footnote *employer Footnote *bargaining agent seeks to enforce the following obligation that is alleged to arise out of the Footnote *collective agreement: Footnote *arbitral award:
Return to footnote *Strike out words that are not applicable
(state nature of obligation and include a reference to the relevant articles of the collective agreement or arbitral award)
- 4It is alleged that there has been a failure to observe or to carry out the stated obligation, the particulars of which are as follows:
(state particulars, including dates of the acts or omissions that are alleged to be contrary to the stated obligation)
Dated at , this day of , 20
(signature)
FORM 18(Subsection 80(1))Parliamentary Employment and Staff Relations Act
Application for Consent to Institute Prosecution
Before the Federal Public Sector Labour Relations and Employment Board
NOTICE: Information relating to the proceedings is subject to the Board’s Policy on Openness and Privacy. In accordance with that policy, the Board conducts its hearings in public, except in exceptional circumstances. It also provides public access to case files and posts its decisions electronically on its website. The Board’s Policy on Openness and Privacy is posted on the Board’s website.
(if necessary, attach additional pages of same size of paper)
- 1Applicant, name and address:
Respondent, name and address:
- 2Describe the nature of the offence alleged or the prohibition alleged not to have been observed:
- 3Indicate the section of the Act alleged to have been contravened:
- 4Provide a summary of the material facts on which the applicant intends to rely to support this application:
Dated at , this day of , 20 and signed on behalf of the applicant by
(signature)
NOTE: Your attention is drawn to subsection 80(1) of the Parliamentary Employment and Staff Relations Regulations, which provides that an application for consent to institute prosecution shall be accompanied by a statutory declaration or a statement made under oath or affirmation by a person who has personal knowledge of the facts on which the applicant relies to support the application.
FORM 19
[Repealed, SOR/2014-252, s. 34]
- SOR/91-462, ss. 13, 14(E), 15(E), 16 and 17
- SOR/2005-80, ss. 7, 10, 11
- SOR/2014-252, ss. 30 to 34
- 2017, c. 9, s. 60
- Date modified: