Form NLRB-501 "Charge Against Employer"

What Is Form NLRB-501?

This is a legal form that was released by the U.S. National Labor Relations Board on February 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2018;
  • 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-501 by clicking the link below or browse more documents and templates provided by the U.S. National Labor Relations Board.

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Download Form NLRB-501 "Charge Against Employer"

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FORM NLRB-501
(2-18)
Please Review the Following
Important Information
Before Filling Out a Charge Form!
• Please call an Information Officer in the Regional Office nearest you for
assistance in filing a charge. The Information Officer will be happy to answer
your questions about the charge form or to draft the charge on your behalf.
Seeking assistance from an Information Officer may help you to avoid having
the processing of your charge delayed or your charge dismissed because of
mistakes made in completing the form.
• Please be advised that not every workplace action that you may view as unfair
constitutes an unfair labor practice within the jurisdiction of the National Labor
Relations Act (NLRA). Please click on the Help Desk button for more
information on matters covered by the NLRA.
• The section of the charge form called, "Basis of Charge," seeks only a brief
description of the alleged unfair labor practice. You should NOT include a
detailed recounting of the evidence in support of the charge or a list of the
names and telephone numbers of witnesses.
• After completing the charge form, be sure to sign and date the charge and mail
or deliver the completed form to the appropriate Regional Office.
• A charge should be filed with the Regional Office which has jurisdiction over
the geographic area of the United States where the unfair labor practice
occurred. For example, an unfair labor practice charge alleging that an
employer unlawfully discharged an employee would usually be filed with the
Regional Office having jurisdiction over the worksite where the employee was
employed prior to his/her discharge. An Information Officer will be pleased to
assist you in locating the appropriate Regional Office in which to file your charge.
• The NLRB's Rules and Regulations state that it is the responsibility of the
individual, employer or union filing a charge to timely and properly serve a
copy of the charge on the person, employer or union against whom such charge
is made.
• By statute, only charges filed and served within six (6) months of the date of
the event or conduct, which is the subject of that charge, will be processed by
the NLRB.
FORM NLRB-501
(2-18)
Please Review the Following
Important Information
Before Filling Out a Charge Form!
• Please call an Information Officer in the Regional Office nearest you for
assistance in filing a charge. The Information Officer will be happy to answer
your questions about the charge form or to draft the charge on your behalf.
Seeking assistance from an Information Officer may help you to avoid having
the processing of your charge delayed or your charge dismissed because of
mistakes made in completing the form.
• Please be advised that not every workplace action that you may view as unfair
constitutes an unfair labor practice within the jurisdiction of the National Labor
Relations Act (NLRA). Please click on the Help Desk button for more
information on matters covered by the NLRA.
• The section of the charge form called, "Basis of Charge," seeks only a brief
description of the alleged unfair labor practice. You should NOT include a
detailed recounting of the evidence in support of the charge or a list of the
names and telephone numbers of witnesses.
• After completing the charge form, be sure to sign and date the charge and mail
or deliver the completed form to the appropriate Regional Office.
• A charge should be filed with the Regional Office which has jurisdiction over
the geographic area of the United States where the unfair labor practice
occurred. For example, an unfair labor practice charge alleging that an
employer unlawfully discharged an employee would usually be filed with the
Regional Office having jurisdiction over the worksite where the employee was
employed prior to his/her discharge. An Information Officer will be pleased to
assist you in locating the appropriate Regional Office in which to file your charge.
• The NLRB's Rules and Regulations state that it is the responsibility of the
individual, employer or union filing a charge to timely and properly serve a
copy of the charge on the person, employer or union against whom such charge
is made.
• By statute, only charges filed and served within six (6) months of the date of
the event or conduct, which is the subject of that charge, will be processed by
the NLRB.
UNITED STATES OF AMERICA
FORM NLRB-501
DO NOT WRITE IN THIS SPACE
(2-18)
NATIONAL LABOR RELATIONS BOARD
Case
Date Filed
CHARGE AGAINST EMPLOYER
INSTRUCTIONS:
File an original with NLRB Regional Director for the region in which the alleged unfair labor practice occurred or is occurring.
1. EMPLOYER AGAINST WHOM CHARGE IS BROUGHT
a. Name of Employer
b. Tel. No.
c. Cell No.
f. Fax. No.
d. Address (Street, city, state, and ZIP code)
e. Employer Representative
g. e-mail
h. Number of workers employed
i. Type of Establishment (factory, mine, wholesaler, etc.) j. Identify principal product or service
The above-named employer has engaged in and is engaging in unfair labor practices within the meaning of section 8(a), subsections (1) and
(list subsections)
of the National Labor Relations Act, and thest unfair labor
practices are practices affecting commerce within the meaning of the Act, or these unfair labor practices affecting commerce within the meaning of
the Act and the Postal Reorganization Act.
2. Basis of the Charge (set forth a clear and concise statement of the facts constituting the alleged unfair labor practices)
3. Full name of party filing charge (if labor organization, give full name, including local name and number)
4a. Address (Street and number, city, state, and ZIP code)
4b. Tel. No.
4c. Cell No.
4d. Fax No.
4e. e-mail
5. Full name of national or international labor organization of which it is an affiliate or constituent unit
(to be filled in when charge is filed by a labor organization)
Tel. No.
6. DECLARATION
I declare that I have read the above charge and that the statements
are true to the best of my knowledge and belief.
Office, if any, Cell No.
(signature of representative or person making charge)
(Print/type name and title or office, if any)
Fax No.
e-mail
Address
Date
WILLFUL FALSE STATEMENTS ON THIS CHARGE CAN BE PUNISHED BY FINE AND IMPRISONMENT (U.S. CODE, TITLE 18, SECTION 1001)
PRIVACY ACT STATEMENT
Solicitation of the information on this form is authorized by the National Labor Relations Act (NLRA), 29 U.S.C. § 151 et seq. The principal use of the information is to
assist the National Labor Relations Board (NLRB) in processing unfair labor practice and related proceedings or litigation. The routine uses for the information are fully
set forth in the Federal Register, 71 Fed. Reg. 74942-43 (Dec. 13, 2006). The NLRB will further explain these uses upon request. Disclosure of this information to the
NLRB is voluntary; however, failure to supply the information may cause the NLRB to decline to invoke its processes.
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