Form NMB 3 Request for Arbitration Panel for Airline Systems Boards of Adustment8-31-2009

Form NMB 3 Request for Arbitration Panel for Airline Systems Boards of Adustment8-31-2009.doc

Request for Arbitration Panel for Airline System Boards of Adjustment

OMB: 3140-0003

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Form NMB-3 OMB No. 3140-0003 (Expiration Date 06/30/2009)

Revised June 2006

Request for Arbitration Panel for Airline System Boards of Adjustment


Date: ________________________________


TO: Arbitration Services

National Mediation Board

Washington, DC 20005 or

E-MAIL: [email protected]


Name of Carrier/Representative requesting the panel (please print or type):





Name of Carrier:


Name of Representative

to Receive Panel:


Address:


Telephone Number:


City, State, Zip Code:


Fax Number:


E-mail:


Name of Union:


Name of Representative

to Receive Panel:


Address:


Telephone Number:


City, State, Zip Code:


Fax Number:


E-mail:


Case Identification(s)

Per Panel











Panel –

A panel of seven (7) names per case is usually provided; if you desire a different number please indicate that number in the box.



Special Requirements –

(Note special arbitrator qualifications, time limitations on hearing or decision, geographical restrictions, etc.)







Carrier Name and Signature:



Union Name and Signature:




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.


File Typeapplication/msword
File TitleForm NMB-2 OMB No
AuthorGrace Ann Leach
Last Modified Bydv212
File Modified2009-06-23
File Created2009-06-23

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