State of Wisconsin
Employment Relations Commission
2418 Crossroads Drive, Suite 1000, Madison, WI  53718-7896
Phone:  608-243-2424    Fax:  608-243-2433
Email:  werc@werc.state.wi.us	

NOTICE OF COMMENCEMENT OF CONTRACT NEGOTIATIONS
(Pursuant to §§ 111.70(4)(cm)1 or (4)(cg)5 of MERA)

Complete and submit this form and, at the same time, serve a copy on the other party.  The Wisconsin Employment Relations Commission’s receipt of this notice does not constitute a request for mediation.  Please attach a copy of any voluntary impasse procedure.

You are hereby notified that the party filing this Notice summoned the other party involved in writing regarding our intent to:
	
 Commence negotiations leading to a successor collective bargaining agreement.
 Commence negotiations leading to an initial collective bargaining agreement.	

All Information is Required
	
Name of Employer	Name of Labor Organization	
		
Street Address, City, State, Zip Code	Street Address, City, State, Zip Code	
		
Telephone No.	Email Address	Telephone No.	Email Address	
				
Name of Representative	Name of Representative	
		
Street Address, City, State, Zip Code (if different)	Street Address, City, State, Zip Code (if different)	
		
Telephone No.	Email Address	Telephone No.	Email Address	
				
General description of position(s) included in the collective bargaining unit.	

Approximate number of employees in unit	Effective date of existing contract (if any)	Termination date of existing contract (if any)	
			
Date reflected in contract, if any, on which notice of open negotiations must be served.		
Select applicable statement:	
  The parties have agreed to a voluntary impasse procedure
  The parties have not agreed to a voluntary impasse procedure	
Party filing this notice (select one):	
  Municipal Employer
  Labor Organization	
Signature	Title	Date