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	

JOINT PETITION FOR FACT FINDING IN STATE EMPLOYMENT
(Pursuant to § 111.88, Stats.)
	
THE FILING FEE FOR FACT FINDING IS $800 SPLIT EQUALLY BETWEEN BOTH PARTIES.  PROCESSING BEGINS WHEN A PETITION AND $400 IS RECEIVED, AT WHICH TIME THE OTHER PARTY IS BILLED BY THE COMMISSION FOR THE REMAINING $400.	

Complete and submit this form together with the required filing fee.

The petitioning parties jointly allege that the parties named below are deadlocked after a reasonable period of negotiations and jointly request the Wisconsin Employment Relations Commission to proceed under its proper authority, pursuant to § 111.88, Stats., to conduct an investigation to determine whether fact finding should be initiated and certify to the parties the findings of fact and conclusions with regard thereto.

All Information is Required
	
Name of Labor Organization	Name of Employer	
		
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	
				
Describe the Collective Bargaining Unit With Inclusions and Exclusions	
	
List and Describe the Issue(s) in Dispute	
	
Mediation Was Conducted By		
The parties jointly request the following Commissioner or WERC staff Member be assigned this matter		

I declare that I have read the contents of this petition and that the statements it contains are true and correct to the best of my knowledge.
	
Name		Title		
Signature		Date		
Name		Title		
Signature		Date