District 1199C Hospital & Health Care Employees, Philadelphia & VicinityBenefit & Pension Funds of Hospital & Health Care Employees, Philadelphia & Vicinity

FEDERAL MEDIATION & CONCILIATION SERVICE

FEDERAL MEDIATION & CONCILIATION SERVICE

NOTICE TO MEDIATION AGENCIES

Instructions:

  1. Click to download and save the PDF form on your computer.
  2. Browser to the saved location and Open the PDF in Adobe Acrobat Reader.
    (Adobe Acrobat Reader is integrated into most modern browsers so it should open automatically. If not, download Adobe Reader from this location.)
  3. Complete the form in Abobe Acrobat Reader by clicking on the fillable areas and entering the requested information.
  4. Save a completed version of the pdf.
  5. Open a new email, attach the pdf and send it to Iaisha Thomas at IThomas@1199cnuhhce.org

 

DOWNLOAD FORM