CHANGE FORM - RECOGNITIONS AND AGREEMENTS
1. Agency:
2. Activity:
3. Location:
4. Union/Local:
Check Applicable Item(s)
5. Recognition: New Recognition Unit
Abolished Recognition Unit BUS Code:
Revised Recognition Unit BUS Code:
Other:
Date of Recognition or Change:
Unit Description:
National Exclusive: Yes No
National Consultation Rights Yes No
6. Agreement:
Check Applicable Item(s)
Initial (First) Agreement
Renegotiated Agreement
Amendment or Supplement to Existing Agreement
Change in Agreement Expiration Date
Other:
BUS Code (if applicable):
Effective Date of Agreement:
Expiration Date of Agreement:
Duration: Automatic Renewal Indefinite
Multi-Unit: Yes No
7. Employees in Recognition Unit: Professional
Wage
Other GS
TOTAL
8. Name of Reporting Official:
Title of Reporting Official:
Telephone Number:
Date:
OPM 913B Rev. 05/13
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