Form C-49. Vote Arrangements in the Construction Industry (applications under s )
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1 Form C-49 Vote Arrangements in the Construction Industry (applications under s ) This form is to be completed by each party (or by the parties jointly) and returned by fax ( ) to the attention of the Vote Coordinator or ed to within 2 (two) days of the date of the Board s decision ordering a vote (where a vote has been ordered). Please copy the other parties with your completed copy of this form. The Vote Coordinator will review the arrangements proposed by the parties, and will in the normal course set the vote arrangements without further consultation with the parties. Case # : Name of Party: Name, Cell Phone No. and Address of Employer Contact in the Workplace: Name of Person completing this vote arrangement sheet: Telephone # and where you can be contacted: Vote Arrangements (Please read Information Bulletin No Vote Arrangements in the Construction Industry before completing this portion of the form.) 1. If the Board s decision set a specific date for the vote, do you assert that the vote should take place on a different date than the date contained in the decision: [ ] Yes [ ] No If the answer is yes, please explain fully. As well, please state the date on which you believe the vote should take place, and explain why: (p. 1 of 5) (January 2016)
2 2. If the Board s decision did not contain a date for the vote, or if the parties are agreeing to a vote independently of any Board decision, please state the date on which you assert a vote should take place, and the reasons for your position: 3. If the Board s decision did not contain a list of eligible voters, or if there is no Board decision, please provide a list, in an attached Appendix A Voters List, of those you assert are in the proposed bargaining unit, and indicate below that you are attaching such a list. 4. Total number of eligible voters (as contained in Board decision, or as proposed by you): 5. Please provide a breakdown of the number of eligible voters by work location/poll location: 6. Please list the regular days and hours of work of the employees in the proposed bargaining unit: 7. Do the employees in the proposed bargaining unit meet together at one location at any point in the day? If so, where and when: (p. 2 of 5) (June 2014)
3 8. Please list below your proposed hours for the vote specifying start and finish times and either a.m. or p.m. 9: Please explain the reasons for your proposed vote times: 10: Please indicate below your proposed location of the poll(s) (e.g. employer premises, job sites(s), other locations): If proposing that the vote be held on job sites, please give the name and cell phone number of the representative who will be at that site: Poll #1 Description of the location (in detail, including the building name/employer name, street address, unit number, floor number and municipality): Poll #2 (only if multiple locations are necessary) Description of the location (in detail, including the building name/employer name, street address, unit number, floor number and municipality): (p. 3 of 5) (June 2014)
4 11. Please explain the reason for your proposed location for the poll(s): 12. If you are requesting special voting arrangements or methods that depart from the Board's normal practices that are described in Information Bulletin No. 8, please specify those arrangements and the reasons for them (in detail): 13. Please indicate the number of Notices of Vote that you believe should be posted so that they will come to the attention of all the employees affected by the application, or indicate any suggested alternative methods of notifying employees of the vote: 14. Please state the name of the Scrutineer(s) you have selected to represent you at each poll: Poll #1: Poll #2: (only if multiple locations are necessary) (p. 4 of 5) (June 2014)
5 15. Please state the name of the agent you have selected to represent you at the counting of the ballots, and include a telephone number and address: 16. Please indicate the name of the applicant as you wish it to appear on the Notice in the voting booth (and, in a displacement application, on the ballot): date signature (p. 5 of 5) (June 2014)
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