Bargaining Status Form: At Impasse

Dear Exclusive Representative and/or School Representative,

Please have your chief negotiator complete and submit this section by ______.

All contact information changes must be immediately given to IEERB via or (317) 233-6620.

1.  Party Name:______

2.  Contact Information for main point of contact for all impasse communications (which are sent via email)

Name:______Position:______

Email:______Phone number:______

3.  Contact information for invoice submission (parties split the cost of mediation & fact-finding) (sent via email)

Name:______Position:______

Email:______Phone number:______

4.  Have you settled? ______If yes, what is the earliest date ratification will occur? ______

The parties will continue at impasse unless and until IEERB receives a ratified (not tentative) and signed collective bargaining agreement. See Indiana Code § 20-29-6-6. The School is responsible for uploading a ratified CBA on Gateway. Exclusive representatives also may email the CBA to .

5.  School Funding Formula Estimate for FY2016 (if different than DOE Certification) and/or FY2017 (if two-year LBO): If your party would like to submit as part of their Last, Best Offer, and argue at fact-finding, that the school employer’s revenue available for bargaining from the school funding formula (basic tuition support) for FY2016 will be different than the DOE Certification for general fund revenue pursuant to Indiana Code section 20-29-6-12.5(b) (“DOE Certification”), or you are considering having a two-year LBO, you MUST list the amount of revenue the party believes will be available:

a.  FY2016 $______

b.  FY2017 $______

If you do not list a number, at fact-finding the only school funding formula (basic tuition support) revenue your party will be able to argue will be the FY2016 DOE Certification.

Note: If the school employer does not receive DOE Certifications, either party may request in writing (up to two weeks after a mediator appointment) a conference with IEERB staff regarding the funding mechanisms particular to the school employer. Within one week of the conference, IEERB staff shall issue a non-binding advisory opinion on the revenue available to the parties for use in their LBO and any modified LBO Requirements.

6.  Notes or requests for IEERB (e.g., fall break dates or jointly requested mediator or fact-finder). IEERB will consider and grant requests at its discretion.______

______

______

* * *

I confirm that the above information is true and correct as of the date signed. I understand that if I did not list estimated school funding formula revenue above, at fact-finding the only school funding formula revenue my party will be able to argue will be the DOE Certification.

______

Name Signature Date