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REQUEST FOR IMPASSE DETERMINATION/ APPOINTMENT OF MEDIATOR DO NOT WRITE IN THIS SPACE: Case No.: Date Filed: INSTRUCTIONS: A request for impasse determination must be filed with the appropriate regional
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How to fill out request for impasse determination

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01
To fill out a request for impasse determination, you will need to gather all relevant information regarding the dispute. This includes any documents, evidence, or supporting materials that can help explain the issue clearly.
02
Start by addressing the request to the appropriate authority or organization responsible for handling impasse determinations. This could be a government agency, a regulatory body, or an independent dispute resolution organization.
03
Begin the request by providing a brief overview of the dispute, including the parties involved, the nature of the disagreement, and any previous attempts made to resolve it. Be concise but clear in your description, ensuring that the reader can understand the context of the impasse.
04
Next, outline your desired resolution or outcome. State clearly what you are seeking and what you believe is a fair and just solution to the dispute. It is important to provide specific details and reasoning to support your position, referring back to any evidence or documentation you have gathered.
05
In the request, include a timeline of events, highlighting key moments or actions that led to the impasse. This can help the reader understand the progression of the dispute and the reasons why you are now seeking impasse determination.
06
If applicable, mention any relevant laws, regulations, or contractual obligations that may be relevant to the dispute. This demonstrates that you have done your research and are aware of the legal framework surrounding the issue.
07
Be sure to include all necessary contact information, such as your name, address, phone number, and email address. This allows the reader to easily reach out to you regarding any further information or clarification needed.
08
Closing the request, express gratitude for the opportunity to submit your request for impasse determination and state that you are available to provide any additional information or answer any questions that may arise.

Who needs a request for impasse determination?

01
Individuals or organizations involved in a dispute that has reached a deadlock or impasse may need to submit a request for impasse determination. This could include parties in a labor dispute, contract negotiations, or any situation where there is a stalemate in finding a resolution.
02
These individuals or organizations may feel that they have exhausted all other options for resolving the dispute and are now seeking the intervention of a third party to make a final determination.
03
The request for impasse determination is typically needed when parties are unable or unwilling to come to an agreement through negotiation, mediation, or other dispute resolution methods. It serves as a formal request for an independent assessment and decision on the matter.
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Request for impasse determination is a formal written request submitted to a neutral third party to intervene and assist in resolving a labor dispute between parties.
Either party involved in the labor dispute is required to file a request for impasse determination.
The request for impasse determination should include specific information about the labor dispute, proposed solutions, and supporting documentation.
The purpose of the request for impasse determination is to seek outside assistance in resolving a deadlock in negotiations between the parties.
The request for impasse determination must include details about the parties involved, the nature of the dispute, proposed solutions, and any relevant supporting documents.
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