Federal Service Impasses Panel Forms

Use of the Panel form is not required provided that the request for assistance includes all the information set forth in 5 C.F.R. Section 2471.3 (for cases under the Federal Service Labor-Management Relations Statute) or 5 C.F.R. Section 2472.4 (for cases under the Federal Employees Flexible and Compressed Work Schedules Act) of the FLRA's regulations.

The Federal Service Impasses Panel form may be mailed or faxed to:
Executive Director, Federal Service Impasses Panel
1400 K Street, N.W., Suite 220
Washington, D.C. 20424-0001
(202) 482-6674 (fax)

FLRA Form 14 - Request for Assistance Adobe Acrobat File