Implementation Forms Table of Contents Implementation …MF04 Terminating IRS Letter This form is to...

Implementation Forms

Table of Contents

Implementation Form Guidelines 2-9

Forming an Area Local 2

Local/Area Local Merging with an Area Local 3

Member-at-Large (MAL) Mergers with a Local or Area Local 4

Member-at-Large (MAL) Disaffiliations 5

Disaffiliation by a Former Local or Area Local 6

Dissolving a Local to Become Members-at-Large (MALs) 7

Non-Mail Processing Facilities Jurisdiction Procedures 8

Consolidated, Excessing Installations and/or New Installations 9

Implementation Forms 10-19

MF01 Request Form 10-11

MF02 Vote Tally Sheet 12

MF03 Local Officer’s Update Form 13

MF04 Terminating IRS Letter 14

MF05 Terminating DOL Letter 15

MF06 Assets Form 16

MF07 List of Intended Offices 17

MF08 MAL Petition to Merger 18

SMF01 Sample Meeting Notice 19

SMF02 Sample Secret Ballot 20

Implementation Checklists 21-28

Forming an Area Local Checklist 21

Local/Area Local Merging with an Area Local Checklist 22

Member-at-Large (MAL) Mergers with a Local or Area Local Checklist 23

Member-at-Large (MAL) Disaffiliations Checklist 24

Disaffiliation by a Former Local or Area Local Checklist 25

Dissolving a Local to Become Members-at-Large (MALs) Checklist 26

Non-Mail Processing Facilities Jurisdiction Checklist 27

Consolidated, Excessing Installations and/or New Installations Checklist 28

2

Implementation Form Guidelines

The guidelines below outline the documents that will be used for each action as described in the Merger Guidelines.

Forming an Area Local

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by both involved Locals and

returned to APWU National Secretary-Treasurer for processing. Sections I, II(A), and III(A,B,C,E) must be completed.

MF02 Vote Tally Sheet

Each involved Local must separately complete this form to indicate the results of the secret ballot vote that was taken at each Local’s regular membership meeting.

MF03 Local Officer’s Update Form

This form is to be used after the merger has been processed to provide the names and contact information of the officers of the gaining Area Local.

MF04 Terminating IRS Letter

This form is to be completed by the president or designee of the outgoing Local and sent directly to the Internal Revenue Service with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed. See section 1.4 of the Merger Guidelines for further information regarding terminating an outgoing Local or Area Local.

MF05 Terminating DOL Letter

This form is to be completed by the president or designee of the outgoing Local and sent directly to the Department of Labor with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed.

MF06 Assets Form This form is to be completed by the president and treasurer of the outgoing Local to indicate that the assets of the outgoing Local have been turned over to the newly formed Area Local. This form must be returned to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification the merger has been processed.

MF07 List of Intended Offices

This form is to be used to indicate the offices that will be held under the newly formed Area Local.

SMF01 Sample Meeting Notice

The involved Locals may use this notice as a sample of a regular meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.

SMF02 Sample Secret Ballot

The involved Locals must create a secret ballot using the language provided on this sample secret ballot under the heading “Merger to Form an Area Local”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

3

Local/Area Local Merging with an Area Local

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by both involved Locals /

Area Locals and returned to APWU National Secretary-Treasurer for processing. Sections I, II(B), and III(C,E) must be completed.


Each involved Local / Area Local must separately complete this form to indicate the results of the secret ballot vote that was taken at the regular Local’s/ Area Local’s membership meeting.


This form is to be used after the merger has been processed to provide the names and contact information of the officers of the gaining Area Local.


This form is to be completed by the president or designee of the outgoing Local/ Area Local and sent directly to the Internal Revenue Service with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed. See section 1.4 of the Merger Guidelines for further information regarding on outgoing Local or Area Local.


This form is to be completed by the president or designee of the outgoing Local/ Area Local and sent directly to the Department of Labor with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed.

MF06 Assets Form This form is to be completed by the president and treasurer of the outgoing Local / Area Local to indicate that the assets of the outgoing Local / Area Local have been turned over to the gaining Area Local. This form must be returned to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification the merger has been processed.


The involved Locals / Area Locals may use this notice as a sample of a regular meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Locals / Area Locals must create a secret ballot using the language provided on this sample secret ballot under the heading “Local/Area Local Merging with an Area Local”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

4

Member-at-Large (MAL) Mergers with a Local or Area Local

Form # Form Name Description MF08 MAL Petition

to Merge This is the initial request that must be completed by a majority of MALs and returned to APWU National Secretary-Treasurer for processing.


The involved Local or Area Local and APWU National Secretary-Treasurer or designee may use this notice as a sample of a meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Local or Area Local must create a secret ballot using the language provided on this sample secret ballot under the heading “Member-at-Large (MAL) Mergers with a Local or Area Local”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

5

Member-at-Large (MAL) Disaffiliations

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by all members in the MAL

office requesting to disaffiliate and returned to APWU National Secretary-Treasurer for processing. Sections I, II(C), and III(D,F,G) must be completed.


The involved Local or Area Local must complete this form to indicate the results of the secret ballot that was taken at the Local’s or Area Locals special membership meeting.


The involved Local or Area Local may use this notice as a sample of a special meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Local or Area Local must create a secret ballot using the language provided on this sample secret ballot under the heading “Member-at-Large (MAL) Disaffiliations”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

6

Disaffiliation by a Former Local or Area Local

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by the Local or Area Local

requesting to disaffiliate and returned to APWU National Secretary-Treasurer for processing. Sections I, II(D), and III(D, F,G) must be completed.


The involved Area Local must complete this form to indicate the results of the secret ballot that was taken at the Area Local’s special membership meeting.

MF07 List of Intended Offices

This form is to be used to indicate the offices that will be held under the reestablished Local or Area Local.


The involved Area Local may use this notice as a sample of a special meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Area Local must create a secret ballot using the language provided on this sample secret ballot under the heading “Disaffiliation by a Former Local or Area Local”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

7

Dissolving a Local to Become Members-at-Large (MALs)

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by all members in the

requesting Local and returned to APWU National Secretary-Treasurer for processing. Sections I, II(E), and III(F,G) must be completed.


The involved Local must complete this form to indicate the results of the secret ballot vote that was taken at the Local’s membership meeting.


This form is to be completed by the president or designee of the outgoing Local and sent directly to the Internal Revenue Service with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed.


This form is to be completed by the president or designee of the outgoing Local and sent directly to the Department of Labor with a copy provided to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed.

MF06 Assets Form This form is to be completed by the president and treasurer of the outgoing Local to indicate that the assets of the outgoing Local have been turned over to the State Organization. This form must be returned to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification the merger has been processed.


The involved Local may use this notice as a sample of a meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Local must create a secret ballot using the language provided on this sample secret ballot under the heading “Dissolving a Local to Become Members-at-Large (MALs)”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

8

Non-Mail Processing Facilities Jurisdiction Procedures

Form # Form Name Description MF01 Request Form This is the initial request that must be signed by seventy-five (75%)

percent of the members in the Non-Mail Processing Facility if the members wish to establish a new Local. Sections I, II(F), and III(A,C,F,G) must be completed.


The involved Local or Area Local must complete this form to indicate the results of the secret ballot vote that was taken at the Local / Area Local’s special membership meeting.


This form is to be used after the completion of vote actions to provide the names and contact information of the officers of the newly formed Area Local.


The involved Local may use this notice as a sample of a meeting notice to ensure that all necessary information is provided to members regarding the secret ballot vote.


The involved Local must create a secret ballot using the language provided on this sample secret ballot under the heading “Non-Mail Processing Facilities Jurisdiction Procedures”. Please note that these ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

9

Consolidated, Excessing Installations and/or New Installations

Form # Form Name Description MF02 Vote Tally

Sheet The involved Locals must complete this form to indicate the results of the secret ballot vote that was taken at the meeting where the question of permanent jurisdiction was voted on.


The involved Locals may use this notice as a sample of a meeting notice to ensure that all necessary information is provided to members regarding the vote on the question of permanent jurisdiction.


The involved Locals must create a secret ballot using the language provided on this sample secret ballot under the heading “Consolidated, Excessing Installations and/or New Installations”. Please note that the ballots do not need to be returned to the APWU National Secretary-Treasurer unless specifically requested.

Request Form (MF01)

10

Date: ___________________

I. Involved Local/Area Local/MAL office:

Name: _______________________ SCF: _____ Finance No.: _________ LU#:_____ Name: _______________________ SCF: _____ Finance No.: _________ LU#:_____

II. The above mentioned affiliate(s) of the APWU wish(es) to take the following action: (check one)

A. _____ Forming an Area Local (Complete A, B, C and E below in Section III) B. _____ Local/Area Local Merging with an Area Local (Complete C and E below in Section III) C. _____ Member-at-Large (MAL) Merger with Local or Area Local(Complete E, F and G below in Section III) D. _____ Member-at-Large (MAL) Disaffiliations (Complete D, F and G below in Section III) E. _____ Disaffiliation by a Former Local or area Local (Complete D, F and G below in Section III) F. _____ Dissolving a Local to Become Members-at-Large (MALs (Complete F and G below in Section III) G. _____ Non-Mail Processing Facilities Jurisdiction Procedures (Complete A, C, F and G below in Section III)

III. Please complete the information listed below as it relates to the corresponding number of

the procedure checked above in Section II.

A. Proposed Name of (Area) Local: ______________________________________________

B. Chartered Local: __________________________________________________________

C. Dues Amount: ____________________________________________________________

D. Reason(s) for seeking disaffiliation: ___________________________________________

________________________________________________________________________

________________________________________________________________________

E. President or designee information:

President or Designee (please print and sign)

President or Designee (please print and sign)

Name of Local or Area Local

Name of Local or Area Local

Local/Area Local address

Local/Area Local address

( ) Telephone number

( ) Telephone number

F. Submitted by/Spokesperson:

Name: ____________________________ Signature: __________________________

Address: _______________________________________________________________

Local/Area Local: ___________________

Telephone: _( ) __________________

Please complete page two as necessary.

Please return this form to: American Postal Workers Union, AFL-CIO

Attn: Secretary-Treasurer’s Department 1300 L Street, NW

Washington, DC 20005

Request Form (MF01)

11

Below are the signature requirements for the procedures found in the Merger Guidelines:

C. Member –at-Large (MAL) Merger with Local/Area Local – a majority of the members must approve D. Member-at-Large (MAL) Disaffiliations – all members of the MAL office must sign E. Disaffiliation by a Former Local or area Local – 75% of members in disaffiliating Local must sign F. Dissolving a Local to Become Members-at-Large (MALs) – all members in the dissolving Local or Area Local must sign G. Non-Mail Processing Facilities Jurisdiction Procedures – 75% of members in facility must sign

G. Signature of members:

Approval Signature Printed Name SSN or EID Yes No

**Special Note: A copy of this request must be retained in the permanent records.** HL//dls MF01 Updated 05/07/13

Vote Tally Sheet (MF02)

12

Date: ________________________

A secret ballot vote was held on (date of meeting) ________________________ by the membership of

_________________________ [Local/Area Local/MAL Office/Facility], APWU.

Vote action was taken on the following issue: __________________________________________________________________________________________

Voting Results:

_______ Total Membership Voting _______ Total Membership Eligible

_______ Total Voted In Favor _______ Total Voted Against

_______ Voided Ballots

This is to verify that the vote, as listed above:

Passed Failed

*For Consolidated, Excessing Installation and/or New Installations please indicate below the outcome of the Secret Ballot Vote:

___________________________________________________________________________

The undersigned certifies that these results are accurate.

___________________________________________ Signature and name of the Local/Area Local’s Vote Committee Chairperson

The involved Locals/Area Locals and/or MALs must complete and return this form, along with copies of meeting notices and minutes during which the above mentioned vote took place to the Secretary-Treasurer’s Department.

**Special Note: Copies of the final tally report and documents pertaining to the above listed issue, including but not limited to postings, signed agreements, copies of secret ballots or request forms must be retained in the permanent records.**

Please return this form to:

American Postal Workers Union, AFL-CIO


Washington, DC 2005 HL//yc

MF02 Updated 11/29/10

Local Officer’s Update Form (MF03)

13

Date: ____________________

Please complete this form and return to APWU National Secretary-Treasurer at the beginning of each new term of office or when changes occur during a term in office.

Local/Area Local/State Organization: ______________________________________ LU#: ______

Address (include street/box number, city, state and zip code): ________________________________________________________________________________

Union Phone: ( )______________________ Union Fax: ( )________________________

Term Begins: ____________________________ Term Ends: _____________________________ Position Name Cell No. Work No. Home No. E-mail Address

Please use back page for listing additional officers.




HL//yc MF03 Updated 11/30/10

Terminating IRS Letter (MF04)

14

Date: ________________________

Sent Certified Mail __________________________________________________ – Return Receipt Internal Revenue Service Ogden, Utah 84201-0027

Re: Former Local/Area Local: ____________________________________________________

Local Union #: _______________________ EIN#: _______________________________

Former Local/Area Local Address:_____________________________________________ ___________________________________________________________________________

Gen: 2474 – APWU – Terminating Letter Request To Whom It May Concern:

This is to advise that the __________________________ Local/Area Local of the American Postal Workers Union, AFL-CIO (APWU) has (circle appropriate action) merged with/dissolved to the _____________________ Local/Area Local/State Organization, APWU, Employer Identification Number _______________.

The above mentioned action became effective on _______________. At the time of this action the __________________________ Local/Area Local had assets of ______* and had ______ members. Based on the above noted action, we are requesting that the records be closed for the outgoing affiliate. If you have any questions relating to the above, please do not hesitate to contact us. Your efforts in this matter are greatly appreciated.

Sincerely,

[President or Designee of Outgoing Local/Area Local]

[Outgoing Local/Area Local Address]

[City, State, Zip Code]

CC: Secretary-Treasurer’s Department, APWU

*This figure is the actual assets as recorded on the Assets Form (MF06). If no income was being received, place -0- in the blank.

Please mail this form directly to the IRS at the address listed above with a copy sent to: American Postal Workers Union, AFL-CIO


Washington, DC 20005 HL//yc MF04 Updated 11/30/10

Terminating Department of Labor (DOL) Letter (MF05)

15

Date: ________________________

Sent Certified Mail __________________________________________________ – Return Receipt U.S. Department of Labor Office of Labor-Management Standards 200 Constitution Avenue, NW Washington, DC 20210 This is in reference to the following affiliate of the American Postal Workers Union, AFL-CIO:

Local/Area Local: LMSA File No: LU#

The above mentioned affiliate has merged with/dissolved to (circle appropriate action):

Local/Area Local/State Organization: LMSA File No:

Effective date of merger/dissolution: At the time of merger, there were _______ members in this Local/Area Local and they had _______ *in assets. Therefore, this letter will serve as the terminating report for this Local/Area Local. The plans for the disposition of cash and other assets for the outgoing Local/Area Local are as follows:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ For newly formed Locals/Area Locals only: a copy of the current Constitution and Bylaws for the Local/Area Local _________________ is attached (select either “Yes” or “No” below).

Yes No

Your efforts on changing your records to reflect this terminating report action will be appreciated. If you have any questions relating to the above, please do not hesitate to contact us.

Sincerely,

[President or Designee of Outgoing Local/Area Local]

[Outgoing Local/Area Local’s Address]

[City, State, Zip Code]

CC: Secretary-Treasurer’s Department, APWU

*This figure is the actual assets as recorded on the Assets Form (MF06). If no income was being received, place -0- in the blank.

Please mail this form directly to the DOL at the address listed above with a copy sent to: American Postal Workers Union, AFL-CIO


Washington, DC 20005 MF05 Updated 11/30/10

Assets Form (MF06)

16

Date: _________________________

Outgoing Local/Area Local:___________________________________________ LU#:______

Gaining Local/Area Local/State Organization: ____________________________ LU#:______

Effective Date: _________________________ Pay Period: ___________________________

This certifies that the assets of the (outgoing) _________________________ Local/Area Local

have been turned over to the (gaining) _________________________ Local/Area Local/APWU State

Organization.

The assets for the (outgoing) _________________________ Local/Area Local include

$_________ in liquid assets (checking/savings accounts, bonds, CDs, etc), and the following physical

properties:

The signatures below certify that the charter issued to the outgoing affiliate is being returned to

the APWU National Secretary-Treasurer and that the above mentioned assets have been turned over

to the appropriate party.

__________ Date

_____________________________________________ President

__________ Date

_____________________________________________ Treasurer

Please return this form as well as the charter of the outgoing (Area) Local to:

American Postal Workers Union, AFL-CIO Attn: Secretary-Treasurer’s Department

1300 L Street, NW Washington, DC 20005

HL//yc MF06 Updated 11/30/10

List of Intended Offices (MF07)

17

Date: ____________________

Please complete this form and return to APWU National Secretary-Treasurer to indicate the intended offices for the Local or Area Local.

Local or Area Local (proposed) Name:__________________________________________________ Address (include street/box number, city, state and zip code): ________________________________________________________________________________

List of intended offices




MF07 Updated 11/30/10

MAL Petition to Merge (Form MF08)

18

Date: ___________________

I. Involved Local/Area Local/MAL office:

Name: _______________________ SCF: _____ Finance No.: _________ LU#:_____ Name: _______________________ SCF: _____ Finance No.: _________ LU#:_____

By signing below, I indicate that I am in agreement with the merger between the MAL office and the local/area local listed above.

Signature Printed Name SSN or EID

**Special Note: A copy of this request must be retained in the permanent records.** hl//opeiu#2, afl-cio MF01 Updated 9/30/10

Sample Meeting Notice (SMF01)

18

Secret Ballot Vote Notice

(Area) Local /Facility

A secret ballot vote [complete with language from below] will be conducted by the [Local/Area Local/ Facility] at the date,

time, and location indicated below.

Date: [Insert date]

Time: [Insert time]

Location: [Insert location, including address] The above mentioned votes must carry a majority vote [fifty (50%) percent plus one (1)] of the members present and

voting at the membership meeting.

The language presented on the meeting notice should be stated as follows for the below mentioned procedures: Forming an Area Local “On the question of merging the _________ Local of the American Postal Workers Union, AFL-CIO (APWU) with the _________ Local, APWU to form the __________ Area Local, APWU as per the proposed constitution of the __________ Area Local, APWU.”

Local/Area Local Merging with an Area Local “On the question of merging the _________ (Area) Local of the American Postal Workers Union, AFL-CIO (APWU) with the __________ Area Local, APWU as per the existing Constitution and Bylaws of the __________ Area Local, APWU.” Member-at-Large (MAL) Disaffiliations “On the question of permitting the _________ MALs of the American Postal Workers Union, AFL-CIO (APWU), Finance Number ____ to disaffiliate from the _________ Local/Area Local, APWU and (for MAL disaffiliation) become members-at-large with the APWU State Organization. Disaffiliation by a Former Local or Area Local “On the question of permitting the ___________ Local/Area Local of the American Postal Workers Union, AFL-CIO (APWU), finance Number _______to disaffiliate from the _______Local/Area Local, APWU and reconstitute the former _______Local/Area Local, APWU. Dissolving a Local to Become Members-at-Large (MALs) “On the question of dissolving the _________ Local/Area Local of the American Postal Workers Union, AFL-CIO (APWU) to the status of members-at-large with the APWU State Organization as per the existing Constitution and Bylaws of the (State) Postal Workers Union, APWU.” Non-Mail Processing Facility Jurisdiction Procedures “On the question of permitting the Non-Mail Processing Facility of _________ to establish a new Local to be called _________ Local, APWU which will represent the offices of _________ [give name and finance numbers].”

Consolidated, Excessing Installations and/or New Installations “On the question of the jurisdiction referendum vote for the _________ installation, I wish to take the following action:

Involved Local/Area Local* Involved Local/Area Local* Create New Local*

*These options are to replace the “Yes, I vote in favor of issue” and the “No, I vote against issue” options as listed in the sample secret ballot above. The above mentioned votes must carry a majority vote [fifty (50%) percent plus one (1)] of the members present and

voting at the membership meeting. HL//yc SMF01 Updated 11/30/10

Sample Secret Ballot (SMF02)

19

Please mark an or in the box preceding your choice on the following vote:

Secret Ballot for Local/Area Local /Facility: A secret ballot vote is being taken:

Please use the example language below to present the issue on which a secret ballot vote will be taken.

________________________________________________________________________________

Yes, I vote in favor of issue No, I vote against issue

You may only vote for one (1) selection. If more than one (1) selection is made on the ballot, the ballot will be voided. All ballots must be returned by the members present and voting to the Merger Vote Committee members on the day the vote is conducted or the ballot will be voided.

The issues presented on the secret ballot should be stated as follows for the below mentioned procedures: Forming an Area Local “On the question of merging the _________ Local of the American Postal Workers Union, AFL-CIO (APWU) with the _________ Local, APWU to form the __________ Area Local, APWU as per the proposed constitution of the __________ Area Local, APWU.”

Local/Area Local Merging with an Area Local “On the question of merging the _________ (Area) Local of the American Postal Workers Union, AFL-CIO (APWU) with the __________ Area Local, APWU as per the existing Constitution and Bylaws of the __________ Area Local, APWU.” Member-at-Large (MAL) Disaffiliations “On the question of permitting the _________ MALs of the American Postal Workers Union, AFL-CIO (APWU), Finance Number ____ to disaffiliate from the _________ Local/Area Local, APWU and (for MAL disaffiliation) become members-at-large with the APWU State Organization. Disaffiliation by a Former Local or Area Local “On the question of permitting the ___________ Local/Area Local of the American Postal Workers Union, AFL-CIO (APWU), finance Number _______to disaffiliate from the _______Local/Area Local, APWU and reconstitute the former _______Local/Area Local, APWU. Dissolving a Local to Become Members-at-Large (MALs) “On the question of dissolving the _________ Local/Area Local of the American Postal Workers Union, AFL-CIO (APWU) to the status of members-at-large with the APWU State Organization as per the existing Constitution and Bylaws of the (State) Postal Workers Union, APWU.” Non-Mail Processing Facility Jurisdiction Procedures “On the question of permitting the Non-Mail Processing Facility of _________ to establish a new Local to be called _________ Local, APWU which will represent the offices of _________ [give name and finance numbers].”

Consolidated, Excessing Installations and/or New Installations “On the question of the jurisdiction referendum vote for the _________ installation, I wish to take the following action:

Involved Local/Area Local* Involved Local/Area Local* Create New Local*

*These options are to replace the “Yes, I vote in favor of issue” and the “No, I vote against issue” options as listed in the sample secret ballot above.

The above mentioned votes must carry a majority vote [fifty (50%) percent plus one (1)] of the members present and voting at the meeting.

**Special Note: These ballots are to be retained in a secure location for a period of one (1) year. They do not need to be returned to the Per Capita section for processing unless specifically requested.**

HL//yc SMF02 Updated 11/30/10

Forming an Area Local Checklist

21

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer of the

American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following documents must be completed and returned by the involved Locals to the APWU National Secretary-Treasurer prior to processing:

Request Form (MF01). Proposed Area Local Constitution and Bylaws. Merger terms (if applicable). List of Intended Offices Form (MF07).

2. Upon receipt of approval of merger from the APWU National Secretary-Treasurer, each involved Local must conduct a secret ballot vote on the question of merging to form an Area Local (see Section 1.3 of Merger Guidelines for further information).

3. The following documents must be submitted to the APWU National Secretary-Treasurer after the completion of the secret ballot vote, whether approved or disapproved:

Copy of meeting notices from the involved Local’s regular membership meetings. Copy of meeting minutes from the involved Local’s regular membership meetings. Vote Tally Sheets (MF02). Local Officer Update Form (MF03) (if merger is approved). New dues rate (if merger is approved).

4. The following documents must be submitted to the appropriate agencies with copies sent to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed:

LM-2, 3 or 4 Report - send to Department of Labor (DOL) with copy to the APWU National Secretary-Treasurer.

Terminating IRS Letter (MF04) - send to Internal Revenue Service (IRS) with copy to the APWU National Secretary-Treasurer.

Terminating DOL Letter (MF05) - send to Department of Labor with copy to the APWU National Secretary-Treasurer.

Assets Form (MF06) - send to the APWU National Secretary-Treasurer.

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.1, Forming an Area Local.

The documents listed above should be returned to the APWU National Secretary-Treasurer at the address below:



HL//yc Updated 11/30/10

Consolidated, Excessing Installations and/or New Installations Checklist

28

This checklist is to ensure that the proper documents are submitted to the APWU National Secretary-

Treasurer of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

Newly consolidated installations

1. Stages of preparation and planning

a. No later than sixty (60) days prior to the effective date of opening the consolidated installation:

President/designee of each affected Local meet to select a committee and spokesperson for the purpose of discussing working conditions in the new installation with the USPS representative.

b. No later than thirty (30) days prior to the effective date of opening the consolidated installation: President/designee of each affected Local shall meet to designate stewards from those

employees identified as excessed to the new installation.

c. No sooner than one hundred and eighty (180) days and no later than two hundred and ten (210) days after the opening of the new consolidated installation:

Determine date for jurisdiction representation referendum vote. Conduct a jurisdiction representation referendum vote (if fully staffed effective the

opening date of the office). See below for details.

Consolidation of two (2) or more postal installations

1. Installations that are fully staffed effective the opening date of the office must conduct a jurisdiction referendum vote ballot on the question of permanent jurisdiction.

2. The following documents must be submitted to the APWU National Secretary-Treasurer after completion of the vote, whether approved or disapproved:

Meeting notice from meeting where vote was taken. Meeting minutes from meeting where vote was taken. Vote Tally Sheet (MF02).

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.8, Consolidated, Excessing Installations and/or New Installations.


American Postal Workers Union, AFL-CIO Attn: Secretary-Treasurer Department


HL//dls Updated 5/7/13

Non-Mail Processing Facilities Jurisdiction Checklist

27

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following document must be completed and returned to the APWU National Secretary-Treasurer prior to processing:

Request Form (MF01)

2. If the vote on the request form is to remain members of the Local or Area Local, not further action is to be taken. If the vote is to establish a new Local, the involved Local or Area Local will have thirty (30) days from the receipt of the letter from the APWU National Secretary-Treasurer to notify if the Local or Area Local is agreeable to allowing the members to leave. If the Local or Area Local is in agreement, the newly formed Local must take the following action:

Hold a special Local union election of officers. File an election report with the APWU National Secretary-Treasurer. File reports with the following agencies with copies sent to the APWU National Secretary-

Treasurer: • Department of Labor (DOL) to obtain an LMSA File Number. • Internal Revenue Service (IRS) to obtain an EIN.

3. If a protest is received from the involved Local or Area Local about allowing the members of the facility to form their own Local, the matter will be brought before the National Executive Board. The National Executive Board will vote to allow the members to establish a new Local or to conduct a jurisdictional representation secret ballot vote. If the National Executive Board votes to allow the members to establish a new Local, the action described in #2 above must be completed.

4. If the National Executive Board states that a jurisdictional representation secret ballot vote must be held, the following documents must be submitted to the APWU National Secretary-Treasurer after the completion of the secret ballot vote, whether approved or disapproved. Please see Section 1.3 of the Merger Guidelines.

Copy of meeting notice from involved Local or Area Local’s membership meeting. Copy of meeting minutes from involved Local or Area Local’s membership meeting. Vote Tally Sheet (MF02).

5. If the vote passes, the newly formed Local must complete the action described in #2 above.

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.7, Non-Mail Processing Jurisdiction Procedures.





Dissolving a Local to Become Members-at-Large (MALs) Checklist

26

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer

of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following document must be completed and returned to the APWU National Secretary-Treasurer

by the Local requesting to dissolve prior to processing:

Request Form (MF01).

2. If all members in the requesting Local do not sign the Request Form, the Local must conduct a secret ballot vote on the question of dissolving the involved Local and becoming members in the State Organization. See Section 1.3 for further information.

3. The following documents must be submitted to the APWU National Secretary-Treasurer after the

completion of the secret ballot vote, whether approved or disapproved:

Copy of meeting notice from the involved Local’s membership meeting. Copy of meeting minutes from the involved Local’s membership meeting. Vote Tally Sheet (MF02).

4. The following documents must be submitted to the appropriate agencies with copies sent to the

APWU National Secretary-Treasurer within thirty (30) days after the dissolution has been finalized:

LM-2, 3 or 4 Report - send to Department of Labor with copy to the APWU National Secretary-Treasurer.

Terminating IRS Letter (MF04) - send to Internal Revenue Service with copy to the APWU National Secretary-Treasurer.



For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.6, Dissolving a Local to Become Members-at-Large (MALs).

The documents listed above should be returned to the APWU National Secretary-Treasurer at the

address below:




Disaffiliation by a Former Local or Area Local Checklist

25

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer of the American

Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following documents must be completed and returned by the involved Local or Area Local wishing to disaffiliate to the APWU National Secretary-Treasurer prior to processing:

Request Form (MF01). List of current members and addresses that would constitute the membership of

the reestablished Local or Area Local. Proposed Constitution and Bylaws. List of Intended Offices Form (MF07).

2. Upon receiving the disaffiliation request, the APWU National Secretary-Treasurer will notify the involved parties and

the appropriate Regional Coordinator so that the involved parties can meet and attempt to resolve the issue(s) causing the request for disaffiliation.

3. If mutual resolve is not met, the involved Area Local must conduct a secret ballot vote on the question of permitting

the involved Local or Area Local to disaffiliate from the involved Area Local. The secret ballot vote must be conducted within ninety (90) days of receipt from the APWU National Secretary-Treasurer’s notice.

4. The following documents must be submitted to the APWU National Secretary-Treasurer after the completion of the

secret ballot vote, whether approved or disapproved:

Copy of meeting notice from involved Area Local’s special membership meeting. Copy of meeting minutes from involved Area Local’s special membership meeting. Vote Tally Sheet (MF02).

5. If the disaffiliation request passes, the newly reinstated Local or Area Local must take the following actions: Hold a special Local union election of officers. File an election report with the APWU National Secretary-Treasurer. File reports with the following agencies with a copy sent to the APWU National Secretary-Treasurer:

• Department of Labor (DOL) to obtain an LMSA File Number. • Internal Revenue Service (IRS) to obtain an EIN.

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.6, Disaffiliation by a Former Local or Area Local.

The documents listed above, should be returned to the APWU National Secretary-Treasurer at the address below:

American Postal Workers Union, AFL-CIO

Attn: Secretary-Treasurer’s 1300 L Street, NW

Washington, DC 20005 HL//dls Updated 5/7/13

Member-at-Large (MAL) Disaffiliations Checklist

24

This checklist is to ensure that the proper documents are submitted to the National Secretary-

Treasurer of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following documents must be completed and returned to the APWU National

Secretary-Treasurer prior to processing:

Request Form (MF01).

2. Upon receiving the disaffiliation request, the APWU National Secretary-Treasurer will notify the involved Local or Area Local and the appropriate Regional Coordinator requesting an opportunity for the involved parties to meet and attempt to resolve the issue(s) causing the request for disaffiliation.

3. If mutual resolve is not met, the involved Local or Area Local must conduct a secret ballot

vote on the question of permitting the involved MAL Office to disaffiliate from the involved Local or Area Local. The secret ballot vote must be conducted within ninety (90) days of receipt of the APWU National Secretary-Treasurer’s notice.

4. The following documents must be submitted to the APWU National Secretary-Treasurer after

the completion of the secret ballot vote, whether approved or disapproved:

Copy of meeting notices from involved Local/ Area Local’s special membership meeting. Copy of meeting minutes from involved Local/Area Local’s special membership meeting. Vote Tally Sheet (MF02).

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.4, Member-at-Large (MAL) Disaffiliations.

The documents listed above should be returned to the APWU National Secretary-Treasurer at

the address below:




Member-at-Large (MAL) Mergers with a Local or Area Local Checklist

23

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are

processed in a timely manner.

1. The following documents must be completed and returned by the involved MAL Office to the APWU National Secretary-Treasurer prior to processing:

MAL Petition to Merge (MF08).

2. Upon receipt of approval of merger from the APWU National Secretary-Treasurer, the

gaining Local or Area Local must conduct a secret ballot vote on the question of merging the involved MALs with the involved Local or Area Local.

3. The following documents must be submitted to the APWU National Secretary-Treasurer

after the completion of the involved Local or Area Local’s secret ballot vote, whether approved or disapproved:

Copy of meeting notice from involved Local or Area Local’s, regular membership

meeting, if applicable. Copy of meeting minutes from involved Local or Area Local’s, regular membership

meeting, if applicable. Vote Tally Sheet(s) (MF02).

4. The APWU National Secretary-Treasurer will notify the State President on the intended

merger prior to implementation if the proposed merger crosses state lines.

For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.3, Member-at-Large (MAL) Mergers with a Local or Area Local.

The documents listed above should be returned to the APWU National Secretary-Treasurer at

the address below:




Local/Area Local Merging with an Area Local Checklist

22

This checklist is to ensure that the proper documents are submitted to the National Secretary-Treasurer

of the American Postal Workers Union, AFL-CIO (APWU) so that all requests are processed in a timely manner.

1. The following documents must be completed and returned by the involved Locals or Area Locals to the APWU National Secretary-Treasurer prior to processing:

Request Form (Form MF01). Gaining Area Local’s Constitution and Bylaws.

2. Upon receipt of approval of merger from the APWU National Secretary-Treasurer, the involved parties must conduct a secret ballot vote on the question of merging the involved Locals (see Section 1.3 of Merger Guidelines for further information).

3. The following documents must be submitted to the APWU National Secretary-Treasurer after the completion of the secret ballot vote, whether approved or disapproved:

Copy of meeting notices from the involved parties regular membership meetings. Copy of meeting minutes from the involved parties regular membership meetings. Vote Tally Sheets (MF02). Local Officers Update Form (if changed) (MF03) (if merger is approved). New dues rate (if merger is approved).

4. The following documents must be submitted to the appropriate offices with copies sent to the APWU National Secretary-Treasurer within thirty (30) days of receiving notification that the merger has been processed:

LM-2, 3 or 4 Report - send to Department of Labor (DOL) with copy to the APWU National Secretary-Treasurer.

Terminating IRS Letter (MF04) - send to Internal Revenue Service (IRS) with copy to the APWU National Secretary-Treasurer.



For additional information on any of the procedures listed above, please refer to the APWU Merger Guidelines, Section 2.2, Local/Area Local Merging with an Area Local.





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