19. Are any of the positions included in another bargaining unit?
Yes No
If yes, list the name(s) and address(es) of the Employee Organization(s) that represent
the position(s)
Note: You must serve a copy of this petition on all Employee Organizations known to have an interest in any of the petitioned-for positions.
20. Have there been changes to the job duties since the position was created?
Yes No
If yes, explain (including the date on which any changes occurred)
21. Was the position in existence prior to the negotiations for the most recent
collective bargaining agreement? Yes No
If yes, explain what, if any, discussions the parties had concerning the unit placement of the position
22. Explain why the position should/should not be included in the existing bargaining unit
I have read the above petition and swear under the pains and penalties of perjury that the information contained in it is
true and complete to the best of my knowledge and belief.
Name (print) Signature Title (if any)
Address (street and no., city/town, state, and ZIP code) Telephone Number
I hereby certify that I have served a copy of this Petition on the following representative of the opposing party.
Name Address (street and no., city/town, state, and ZIP code)
Method of Service
In hand First Class Mail Other (specify): ___________________
Signature of Person making Certification Telephone Number
The Division does not discriminate on the basis of disability in access to its services. Inquiries, complaints or requests,
including requests for auxiliary aids and information regarding access features should be directed to the LRC FORM-007 (page 2)
ADA Coordinator (617) 626-7132. This document is available in alternative formats. Revised 11/07
Telephone Number
Answer the following questions for each of the positions listed in Question No. 16.
Attach additional sheets if necessary
CERTIFICATE OF SERVICE
DECLARATION