NATIONAL MEDIATION BOARD
WASHINGTON, DC 20572

Request for Arbitration Panel
for Airline System Boards of Adjustment

To: Arbitration Services
National Mediation Board
Washington, DC 20572 		Date: ________________

Name of Company:
Name & Address:
of Representative
to receive panel:



Telephone (include area code):

Name of Union:
Name & Address
of Representative
to receive panel:



Telephone (include area code):

Case Identification(s):






Site of Hearing:
Type of Issue:
 (see page 3 for NMB Code Nos.)
A panel of seven (7) names is usually provided; if you desire a different number, please indicate here: ______

Special requirements: ___________________________________________________________________
(Special arbitrator qualifictions, time limitations on hearing or decision; geographical restrictions, etc.)

Signatures:

_________________________________________________________
(COMPANY)
_________________________________________________________
(UNION)

Although the NMB prefers to act upon a joint request of the parties, a submission may be made based on the request of a single party if the relevant collective bargaining agreement so indicates. However, any submission of a panel should not be construed as anything more than compliance with a request and does not reflect on the substance or arbitrability of the issue in dispute.

07/99


PLEASE PROVIDE ANY COMMENTS YOU FEEL WOULD BE APPROPRIATE IN ORDER TO
ASSIST THE NMB IN BETTER PROVIDING PANELS OF ARBITRATORS IN THE FUTURE:

Other comments:




MAIL RESPONSES TO: Arbitration Services
National Mediation Board
Washington, DC 20572




















CODES and DESCRIPTIONS

2-SERVICE: HOSTLING
4-FITNESS: OUT OF SERVICE
5-FITNESS: REINSTATEMENT
6-AGREEMENTS: NATIONAL
7-SERVICE: CLASS OF
9-STRIKES
15-DISCIPLINE/DISCHARGES: ATTENDANCE
16-DISCIPLINE/DISCHARGES: SUBSTANCE ABUSE
23-ROAD-YARD
24-OP RULE VIOLATION
25-SICK LEAVE
28-TERMINAL DELAY
29-ASSIGNMENTS: ABOLISH
31-CABOOSE/RIDERS CARS
32-AGREEMENTS: ON PROPERTY
36-DEADHEADING
37-MILEAGE
43-SERVICE: GRADES OF
44-PAY DIFFERENTIALS
46-INTERCHANGE: IMPROPER
47-GUARANTEES: WEEKLY
58-CREW CONSIST
62-RATE OF PAY: DAILY
64-SEN. ROSTERS (INTEGRATION)
72-CLASS OF RATES
84-SAFETY
86-PROTECTION: ICC IMPOSED
87-INVESTIGATIONS
95-MEAL PERIOD
96-SUPERVISOR DOING WORK
98-RATE OF PAY: CHANGING
101-MERGERS AND ACQUISITIONS
102-CONTRACTING OUT OF WORK
105-CLAIMS
106-DISCIPLINE/DISCHARGES: OTHER (INCL. UNION BUS.)
110-BUSINESS TRAINS
117-ASSIGNMENTS: OTHER
118-ADDITIONAL SERVICE
119-DISCIPLINE/DISCHARGES: OUT OF SERVICE
120-RUNAROUNDS
127-MEDICAL EXAMINATION
128-DISPLACEMENT RIGHTS
129-RATES OF PAY: DETERMINING
133-INJURIES/DISABILITY 		137-SERVICE: HOURS OF
139-ASSIGNMENTS: CHANGE
140-ASSIGNMENTS: BLANK
142-GUARANTEES: DAILY
153-SERVICE: DOUBLEHEADER
155-HEALTH AND WELFARE
156-PROTECTION: EMPLOYEES
158-ROAD/YARD: DIFFERENCE
159-HOLIDAY PAY
162-PROTECTION: WORK TRANSFER
163-PICKING UP AND SET OUT
164-PROTECTION: CLAIMS APPL.
167-VACATION PAY
172-OVERTIME
173-DISCIPLINE/DISCHARGE: REINSTATEMENT
174-RATES OF PAY: MONTHLY
175-EQUIPMENT DAMAGE/COLLISION
176-FITNESS: QUALITY
177-OTHER CRAFTS DOING WORK
187-RATES OF PAY: HIGHER DUE
189-AGREEMENTS: JOINT TRACKAGE
193-JURISDICTION
195-EQUIPMENT/ENGINE: DEFECTIVE
196-YARD SERVICE
197-GUARANTEES: EXTRA BOARD
200-PROTECTION: WORK NOTICE
201-EEO RIGHTS
202-ALTERNATIVE DISPUTE RESOL.
300-DRESS CODES
301-INTEREST ARBITRATION
302-PENSIONS
303-PILOT QUALIFICATIONS
304-PROTECTION: LPP'S
305-RATES OF PAY: FLIGHT ATTENDANTS
306-RATES OF PAY: PILOTS
307-REAL ESTATE
308-SEN. ROSTERS: (INTEGRATION): AIRLINES
309-SERVICE CHARGE OBJECTORS
310-SEVERANCE PAY
311-EMPLOYEE BENEFITS: DISPUTE
312-CREW QUALIFICATIONS: AIRLINES
313-LICENSING: AIRLINES
314-WEIGHT EQUIPMENT: AIRLINES
999-EXPERIENCE IN ALL ISSUES

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