Forms



To download and view these forms, you will need the Adobe Acrobat Reader. This software can be downloaded, free of charge, by clicking on the icon below. Once the Acrobat Reader is installed, the forms can be downloaded, viewed and printed by left clicking on the desired link and following the directions that appear. To complete the Direct Entry Forms while viewing, you will need Adobe Acrobat Reader version 7.0 or higher. Begin by setting your cursor in the first highlighted field and type in the appropriate information, hitting the tab key to move through the fields. When finished print and submit the form. You can also print blank forms from the Direct Entry pages by selecting the Print Form button. Adobe's Accessibility Tools for PDF Documents can also be downloaded by those who can not read PDF files, simply click on "Accessibility Tools" below. To return to this "Forms" page from any selected link, use the back button on your browser.
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If, for any reason, you can not download our forms, please contact PERB at 518-457-2676 and arrangements will be made to provide them to you.

Please call us at 518-457-2578 for free language assistance services. Click here for translation.

Conciliation Forms

Direct Entry Declaration of Impasse (Public Sector) - Print and mail the form with your attachments.
Declaration of Impasse (Public Sector) Blank - Download a blank form and type your information for mailing.
Direct Entry Request for Contract Mediation (Private Sector) - Print and mail the form with your attachments. Do not use this form as a Taft-Hartley notice in place of FMCS Form F-7.
Direct Entry Demand for Arbitration (Public & Private Sector) - Print and mail the form with your attachments.
Joint Submission to Arbitrate
Staff Grievance Mediation/Arbitration (Public Sector)

Employment Practices and Representation Forms

Representation Certification/Decertification (Public Sector)
Showing of Interest (Public Sector)
Direct Entry Certification Investigation Request by Union (Private Sector) - Print and mail the form with your attachments.
Direct Entry Certification Investigation Request by Employer (Private Sector) - Print and mail the form with your attachments.
Unit Clarification or Placement (Public Sector)
Managerial or Confidential Designation (Public Sector)
Improper Practice (Public Sector)
Direct Entry Unfair Labor Practice (Private Sector) - Print and mail the form with your attachments.
Declaratory Ruling (Public Sector)
Withdrawal Request (Public Sector)

Counsel's Forms

Injunctive Relief Form (Public Sector)
Strike Notice and Charge (Public Sector)
Local Government Mini-PERB Application (Public Sector)
Local Government Mini-PERB Review (Public Sector)

Order Form

Online Publications Form - This form requires Adobe Acrobat Reader 7.0, which can be downloaded free of charge by clicking on the Adobe icon above. Using the Hand Tool in Adobe Acrobat Reader, set your cursor in the date field, fill in the form online with the appropriate information, hitting the tab key to move through the fields. Check the postage and handling box if it applies, then print the form and mail it with your check.
Publications Blank Form - Download a blank form and type your information for mailing.

For Current Arbitration Panel Members Only

Direct Input Arbitrator Resume and Billing Disclosure Statement (Public & Private Sector) - Complete, save on your local drive and email to arbitration@perb.ny.gov.

Grievance Arbitration Report Form (Public & Private Sector) - Save form on your local drive, complete, save again and email to arbitration@perb.ny.gov.
  

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last modified: 10/5/2012
URL: http://www.perb.state.ny.us/Form.asp