Form NLRB-5544 "Certificate of Service of Petition"

What Is Form NLRB-5544?

This is a legal form that was released by the U.S. National Labor Relations Board on May 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2015;
  • The latest available edition released by the U.S. National Labor Relations Board;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NLRB-5544 by clicking the link below or browse more documents and templates provided by the U.S. National Labor Relations Board.

ADVERTISEMENT
ADVERTISEMENT

Download Form NLRB-5544 "Certificate of Service of Petition"

Download PDF

Fill PDF online

Rate (4.8 / 5) 47 votes
Form NLRB-5544
(5-2015)
CERTIFICATE OF SERVICE
Employer Name:
Service on the Employer
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were served on the Employer by: (check whichever is applicable)
e-mail to the email address shown on the petition.
facsimile (with the permission of the Employer) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of Employer's representative) at the
following address:
.
Service on the Other Party Named in the Petition
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were also served on
(name of party or parties)
by: (check whichever is applicable)
email to the email address shown on the petition.
facsimile (with the permission of the party) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of party’s representative) at the
following address:
.
Service on the Other Party Named in the Petition
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were also served on
(name of party or parties)
by: (check whichever is applicable)
email to the email address shown on the petition.
facsimile (with the permission of the party) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of party’s representative) at the
following address:
.
Signature
Name and Title
Date
Form NLRB-5544
(5-2015)
CERTIFICATE OF SERVICE
Employer Name:
Service on the Employer
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were served on the Employer by: (check whichever is applicable)
e-mail to the email address shown on the petition.
facsimile (with the permission of the Employer) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of Employer's representative) at the
following address:
.
Service on the Other Party Named in the Petition
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were also served on
(name of party or parties)
by: (check whichever is applicable)
email to the email address shown on the petition.
facsimile (with the permission of the party) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of party’s representative) at the
following address:
.
Service on the Other Party Named in the Petition
I hereby certify that on ____________ (date), a copy of the petition involving the Employer named
above, a Statement of Position (Form NLRB-505), and a Description of Procedures (Form NLRB-
4812) were also served on
(name of party or parties)
by: (check whichever is applicable)
email to the email address shown on the petition.
facsimile (with the permission of the party) to the facsimile number shown on the petition.
overnight mail to the mailing address shown on the petition.
hand-delivery to
(name of party’s representative) at the
following address:
.
Signature
Name and Title
Date