Fillable Form 31: UNFAIR LABOR PRACTICE COMPLAINT (Colorado DORA)

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Form 31: UNFAIR LABOR PRACTICE COMPLAINT (Colorado DORA)

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Division of Labor Standards and Statistics
633 17th Street | Denver, CO 80202-2701
(303)
31
8-8441 | colorado.gov/cdle/labor
Colorado Division of Labor Standards and Statistics | 633 17th Street | Denver, Colorado 80202-2107
Main: (303) 318-8441 | Toll Free: 1-888-390-7936 | Fax: (303) 318-8400 | Email: cdle_labor_standards@state.co.us
Last updated August 2020
The Colorado Partnership for Quality Jobs and Services Act
UNFAIR LABOR PRACTICE COMPLAINT
Under the Colorado Partnership for Quality Jobs and Services Act (“Act”) (C.R.S. § 24-50-1101 et seq.), a
complaint alleging unfair labor practices may be filed with the Division of Labor Standards and Statistics
(“Division”). Complaints about union-related activity or interference with concerted activities are covered "unfair
labor practices." Charges may be filed by covered employees, an employee organization, or the state of
Colorado. Although other employment-related actions may be viewed as unfair, they do not fall within the
Division’s jurisdiction.
You may call the Division to discuss whether your complaint might fall within the Division’s authority.
Section I: Charging Party: (check one) EMPLOYEE
□
EMPLOYEE ORGANIZATION
□
EMPLOYER
Your Full Name
Mailing Address
City
State
Zip Code
Telephone Number
Email Address
Date you were made aware of the alleged unfair labor practice
Attorney’s Name (if applicable)
Attorney’s Telephone Number
Attorney’s Email Address
Section II: Charge Filed Against: (check one) EMPLOYEE ORGANIZATION
□
EMPLOYER
□
Entity Name
Entity Representative’s Name/Title
Mailing Address
City
Zip Code
Telephone Number
Email Address
If you believe more than one party violated the Act, please provide the Section II contact information for that additional
respondent here.
Colorado Division of Labor Standards and Statistics | 633 17th Street | Denver, Colorado 80202-2107
Main: (303) 318-8441 | Toll Free: 1-888-390-7936 | Fax: (303) 318-8400 | Email: cdle_labor_standards@state.co.us
Last updated August 2020
Section III: Description of the alleged unfair labor practices
Before completing Section III, please refer to Sections 24-50-1107 through 24-50-1112
of the Act
for a description of the unfair labor practices the Division has the authority to investigate.
1. STATEMENT OF THE CHARGE – The charging party hereby alleges that the above-named respondent has
engaged in (an) unfair labor practice(s) within the meaning of the Colorado Partnership for Quality Jobs and
Services Act. To the extent that you can, please indicate which Section(s) of the Act you believe were violated to
help the Division understand whether your allegations fall within the Act:
□
-1107
□
-1108
□
-1109
□
-1111
□
-1112
□
Other ____________ (please specify)
2.
BASIS OF THE CHARGE (Use and attach additional pages if necessary)
Date(s) of alleged unfair labor practice(s):
Name(s) of individual(s) involved:
Location(s) of alleged unfair labor practice(s):
Please describe what happened in a clear and concise statement:
3. RELIEF OR REMEDY SOUGHT BY CHARGING PARTY - State what you ask the Division to order, if it finds that an
unfair labor practice occurred.
I declare under penalty of perjury, C.R.S. § 18-8-501 et seq., that the information I have provided is true and correct.
Charging Party Signature Date
Please email, fax, or mail this
complaint to the address below.
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Form 31: UNFAIR LABOR PRACTICE COMPLAINT (Colorado DORA)

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Completed 27 January 2021

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