FE14

To the Registrar of Trade Unions

The ................................................................................. gives notice to hold a

(name of Trade Union)

secret ballot seeking mandate for strike action against..................................

(name of Employer)

Date of ballot: ..................................................................................................................................................................

Time of ballot:.................................................................................

Place of ballot: .................................................................................

Issues for the strike are the following:

(list the issues as they would appear on the ballot paper)

(The Regulations requires that a copy of this notice must be sent to the employer/ employers to whom the secret ballot relates at the same time as the notice is sent to the Registrar)