Website in transition!

On November 1, 2014, the Public Service Labour Relations and Employment Board (PSLREB) was created. The PSLREB was created when the Public Service Labour Relations Board (PSLRB) and the Public Service Staffing Tribunal (PSST) merged. This PSLRB website is in the process of being phased out in favour of the new PSLREB website. During a period of transition, this PSLRB website will continue to provide archived reports, decisions, and transitional information. Please visit the new PSLREB website for the most recent content.

Public Service Labour Relations Act — Forms

Notice

The PSLRB’s Policy on Openness and Privacy explains why information filed with the PSLRB is generally available to the public and why it could be reported in a decision posted on the PSLRB website and distributed to publishers.

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

Where applicable, forms should be sent in duplicate 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 - 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))

Please note - two (2) copies of the initial grievance must accompany this form.
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))

Please note - two (2) copies of the initial grievance must accompany this form.
21 fillable
Form 22 Notice of Reference to Adjudication of a Group Grievance (Paragraph 89(1)(b))

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


Please note - two (2) copies of the initial grievance must accompany this form.
22 fillable
Form 23 Notice of Reference to Adjudication of a Policy Grievance (Paragraph 89(1)(c))

Please note - two (2) copies of the initial grievance must accompany this form.
23 fillable
Form 24 Notice to the Canadian Human Rights Commission (Subsection 92(1))

Please note - two (2) copies of this form must accompany form 20 or 21.
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