[Code of Federal Regulations] [Title 29, Volume 4] [Revised as of July 1, 2006] From the U.S. Government Printing Office via GPO Access [CITE: 29CFR1402.1] [Page 44-45] TITLE 29--LABOR CHAPTER XII--FEDERAL MEDIATION AND CONCILIATION SERVICE PART 1402_PROCEDURES OF THE SERVICE--Table of Contents Sec. 1402.1 Notice of dispute. Authority: Sec. 202, 61 Stat. 153, sec. 3, 80 Stat. 250, sec. 203, 61 Stat. 153; 5 U.S.C. 552, 29 U.S.C. 172, 173. The notice of dispute filed with the Federal Mediation and Conciliation Service pursuant to the provisions of section 8(d)(3), of the Labor-Management Relations Act, 1947, as amended, shall be in writing. The following Form F-7, for use by the parties in filing a notice of dispute, has been prepared by the Service: FMCS Form F-7. Revised May 1964. Notice to Mediation Agencies To: Federal Mediation and Conciliation Service, Washington, D.C. 20427; and [[Page 45]] To: (Appropriate State or Territorial agency.) Date -------------------- You are hereby notified that written notice of the proposed termination or modification of the existing collective bargaining contract was served upon the other party to this contract and that no agreement has been reached. 1. (a) Name of employer (if more than one company or an association, submit names and addresses on separate sheet in duplicate). Phone No. -- ---------- Address of establishment affected (Street) (City) (State) (Zip Code). (If more than one establishment, or plant, list addresses on separate sheet.) (b) Employer Official to communicate with (name and title). Address: Phone No. --------. ---------------- (Street), ---------------- (City), ---------------- (State). 2. (a) International union ---------------- Local No. ------. AFL- CIO ( ). Independent ( ). Phone No. ------. Address of local union: ---------------- (Street), ---------------- (City), ---------------- (State), -------- (Zip Code). (b) Union official to communicate with --------------------. Phone No. ----------. Address: ---------------- (Street), ---------------- (City), ---------------- (State), -------- (Zip Code). 3. (a) Number of employees covered by the Contract(s) ------. (b) Total number employed by the Company at this location(s) ------. 4. Type of establishment and principal products, or services ------ ---------------- (Factory, mine, wholesaler, over-the-road trucking, etc.). 5. Contract expiration or reopening date ------------. 6. Name of official filing this notice --------------------. Title ----------------. Address ------------------------ Phone No. --------. Check on whose behalf this notice is filed: Union ------------. Employer ------------ Signature -------------------------------- Receipt of this notice does not constitute a request for mediation nor does it commit the agencies to offer their facilities. This particular form of notice is not legally required. Receipt of notice will not be acknowledged in writing by the Federal Mediation and Conciliation Service. (Attach copies of any statement you wish to make to the Mediation Agencies.) Copies of this Form F-7 are obtainable at the national, regional and field offices of the Service. This form may be duplicated for use by representatives of employers or unions provided it is copied in full without change. [32 FR 9812, July 6, 1967, as amended at 47 FR 10531, Mar. 11, 1982]