lm-15a_instructions_2021_edits

Public reporting burden for this collection of information is estimated to average 22 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing
the collection of information. Persons are not required to respond to the collection of information unless it displays a currently valid
OMB control number. Reporting of this information is mandatory and is required by the Labor-Management Reporting and
Disclosure Act of 1959, as amended, for the purpose of public disclosure. As this is public information, there are no assurances of
confidentiality. If you have any comments regarding this estimate or any other aspect of this information collection, including
suggestions for reducing this burden, please send them to the U.S. Department of Labor, Office of Labor-Management Standards,
Room N-5609, 200 Constitution Avenue, NW, Washington, DC 20210.

DO NOT SEND YOUR COMPLETED FORM LM-15A TO THE ABOVE ADDRESS.

INSTRUCTIONS FOR FORM LM-15A
REPORT ON SELECTION OF DELEGATES AND OFFICERS
GENERAL INSTRUCTIONS

 the labor organization imposing the

trusteeship held an election of officers.

I. WHY FILE

As provided in the instructions for answering Item 9 on
Form LM-15 and Item 6 on Form LM-16, if your labor
organization answered YES to either part of the
questions above, you must complete and attach a Form
LM-15A.

The Labor-Management Reporting and Disclosure Act
of 1959, as amended (LMRDA), the Civil Service
Reform Act (CSRA), and the Foreign Service Act (FSA)
require public disclosure of certain matters pertaining to
a trusteeship which a labor organization imposes on a
subordinate body. The Secretary, under the authority of
the LMRDA, the CSRA, and the FSA has prescribed
the filing of the Report on Selection of Delegates and
Officers, Form LM-15A, to satisfy the requirement to
disclose matters relating to selection of officers of the
parent body imposing the trusteeship and the selection
of delegates to a convention of the parent body
imposing the trusteeship.

III. WHAT FORMS TO FILE
Form LM-15A, if required (see Section II), must be filed
with the initial or semiannual trusteeship report, Form
LM-15, or the terminal trusteeship report, Form LM-16.
IV. WHO MUST SIGN THE REPORT
Form LM-15A must be signed by the president and
treasurer or corresponding principal officers of the parent
labor organization and the trustees of the subordinate
labor organization.

II. WHO MUST FILE
Every labor organization subject to the LaborManagement Reporting and Disclosure Act of 1959, as
amended (LMRDA), the Civil Service Reform Act
(CSRA), or Foreign Service Act (FSA) which has
established a receivership, trusteeship, or other
method of supervision or control, suspending the
autonomy otherwise available to a subordinate labor
organization under its constitution and bylaws, must
file trusteeship reports with the Office of LaborManagement Standards (OLMS) of the U.S.
Department of Labor. You must file Form LM-15A,
Report on Selection of Delegates and Officers, with a
semiannual Trusteeship Report, Form LM-15, or a
Terminal Trusteeship Report, Form LM-16, if the
following occurred during the period covered by the
Form LM-15 or the Form LM-16:

V. WHEN TO FILE
If you are required to file Form LM-15A, you must submit
the report with the semiannual Trusteeship Report,
Form LM-15, or the Terminal Trusteeship Report, Form
LM-16, as appropriate. The semiannual Trusteeship
Report, Form LM-15, is required to be filed within 30
days after the end of each 6-month period of a
trusteeship. The Terminal Trusteeship Report, Form LM16, must be filed within 90 days after the termination of a
trusteeship.
VI. HOW TO FILE
The completed Form LM-15A, with the accompanying
Form LM-15 or Form LM-16, any required attachments
and additional pages must be submitted electronically to
the Department, via the OLMS Electronic Forms System
(EFS) linked from the OLMS website at
https://www.dol.gov/olms. If you must file an amended
report, follow the prompts within EFS.

 a convention or other policy-determining body
met to which the trusteed labor organization
sent delegates or would have sent delegates
if not in trusteeship; or

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NOTE: Upon registering with OLMS, the signatories and
preparers must enter the email addresses they use to
conduct union business, in order to file the form via the
OLMS Electronic Forms System. While the email
addresses will not appear on the report, OLMS may use
the email address of the signatories and any preparers to
contact the union concerning LMRDA compliance.

IX. RECORDKEEPING
The individuals required to file Form LM-15A are
responsible for maintaining records which must provide
in sufficient detail the information and data necessary
to verify the accuracy and completeness of the report.
You must retain the records for at least 5 years after
the date the report is filed. You must retain any record
necessary to verify, explain, or clarify the report
including, but not limited to, vouchers, worksheets,
receipts, and applicable resolutions.

If you have difficulty navigating the software, or have
questions about its functions and features, call the
OLMS Help Desk at: (866) 401-1109. For questions
concerning the reporting requirements, please send an
e-mail to OLMS-Publick@dol.gov or call (20) 693-0123.

Individuals are subject to penalties for willfully making
any false entry in or concealing, withholding, or
destroying any books, records, or statements required
to be kept.

VII. PUBLIC DISCLOSURE
Pursuant to the LMRDA, the U.S. Department of Labor
is required to make all submitted reports available for
public inspection. The Form LM-15A reports may be
viewed and downloaded from the OLMS Web site at
www.unionreports.gov or at the OLMS field office in
whose jurisdiction the trusteed labor organization is
located. At the end of these instructions is a list of
OLMS field offices. For assistance please email OLMSPublic@dol.gov or call (202) 693-0123.

X. COMPLETING FORM LM-15A
Read these instructions carefully before completing
Form LM-15A.
The Form LM-15A must be completed and submitted
electronically. You may click on the “Validate” button at
any time to check for errors. This action will generate an
“Errors Page” listing any errors that will need to be
corrected before you will be able to sign the form.
Clicking on the signature lines will also perform the
validation function.

VIII. OFFICER RESPONSIBILITIES AND PENALTIES
Each individual required to sign Form LM-15A is
personally responsible for its filing and accuracy. Under
the LMRDA, these individuals are subject to criminal
penalties for willful failure to file a required report and/or
for false reporting. False reporting includes making any
false statement or misrepresentation of a material fact
while knowing it to be false, or for knowingly failing to
disclose a material fact in a required report or in the
information required to be contained in it or in any
information required to be submitted with it.

IDENTIFICATION ITEMS 1 - 3
1. FILE NUMBER—Enter the 6-digit file number
assigned by OLMS to the labor organization held in
trusteeship. If you do not know the organization’s file
number and cannot obtain it from prior reports filed by
the organization held in trusteeship, contact the
nearest OLMS field office listed at the end of these
instructions for information on the 6-digit file number.
2. PERIOD COVERED—Enter the beginning and
ending dates of the period covered by this report.
When the Form LM-15A accompanies a semiannual
Trusteeship Report, Form LM-15, the period covered
will be the 6 months covered by the semiannual report.
When the Form LM-15A accompanies a Terminal
Trusteeship Report, Form LM-16, the period covered
will end with the date of the termination of the
trusteeship.

The reporting labor organization and the officers and
trustees required to sign Form LM-15A are also subject
to civil prosecution for violations of filing requirements.
According to Section 210 of the LMRDA, “whenever it
shall appear that any person has violated or is about to
violate any of the provisions of this title, the Secretary
may bring a civil action for such relief (including
injunctions) as may be appropriate.”
Under the CSRA and FSA and implementing
regulations, false reporting and failure to report may
result in administrative enforcement action and
litigation. Individuals responsible for signing Form LM15A are also subject to criminal penalties for false
reporting under section 1001 of Title 18 of the United
States Code.

3. NAME AND ADDRESS OF LABOR
ORGANIZATION HELD IN TRUSTEESHIP— Enter the
full name and the complete mailing address of the labor
organization held in trusteeship, including any building
and room number. Include the affiliation or organization
name (for example, International Association of Factory
Workers); any designation which specifically identifies
the trusteed organization (for example, Local, Lodge,
Branch, Joint Council, District Council, etc.); and any

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6. PARTICIPATION OF THE TRUSTEED
ORGANIZATION—Select YES in Item 6 if delegates
from the trusteed organization participated in the
business of the convention or other policy-determining
body, including any election of officers, in the same
manner as delegates from organizations not in
trusteeship. Select NO in Item 6 if any restrictions were
placed on the delegates from the trusteed organization;
you must explain the restrictions in Item 20.

designation number or other identifier by which the
trusteed organization is known (for example, Local 123
or Southeast Joint Council).
PART A - SELECTION OF DELEGATES, ITEMS 4-12
Complete Part A, Items 4 through 12 if, during the
reporting period, a convention or other policydetermining body met to which the trusteed labor
organization sent delegates or would have sent
delegates if not in trusteeship. If more than one such
convention or policy-determining body met during the
reporting period, you must file a separate Form LM-15A
for each convention or policy-determining body meeting.

7. MANNER OF SELECTION—Select Item 7(a) if the
delegates were appointed by the trustee. Select Item
7(b) if the delegates were elected by the membership of
the labor organization held in trusteeship. Select Item
7(c) if the delegates were selected by another
procedure; provide a description of the selection
procedure in Item 20.

NOTE: Section 303 of the LMRDA makes it unlawful to
count the vote of delegates from a trusteed labor
organization in any convention unless the delegates
have been chosen by secret ballot in an election in which
all the members in good standing of such organization
were eligible to participate. A similar standard is set forth
in 29 CFR 458.27 for labor organizations subject to Title
VII of the CSRA.

If the officers of the trusteed organization were delegates
to a convention or other policy-determining body by
virtue of their office, Select Item 7(a), 7(b), or 7(c), as
appropriate, to indicate whether the officers were
appointed, elected, or selected by some other means.

4. CONVENTION OR OTHER POLICY- DETERMINING
BODY—Enter in Item 4(a) the name of any convention
or other policy-determining body which met during the
reporting period. A policy-determining body means any
body convened by the parent labor organization or other
labor organization which is composed of delegates from
labor organizations and which formulates policy on such
matters as wages, hours, or other conditions of
employment or recommends or takes any action in the
name of the participating labor organization. Such a
body includes, for example, a district council, area
conference, or joint board.

Complete Items 8 through 12 only if you selected
Item 7(b).
8. METHOD OF NOMINATION—Select Item 8(a) if the
delegates were nominated at a membership meeting of
the trusteed organization. Select Item 8(b) if the
delegates were nominated by written nomination. Select
Item 8(c) if the delegates were nominated by petition.
Select Item 8(d) if another method of nomination was
used and explain the nomination procedure in Item 20.
9. CANDIDATE ELIGIBILITY—Select YES in Item 9 if
every “member in good standing” of the trusteed
organization was eligible to be a candidate for delegate
subject to reasonable qualifications uniformly imposed. If
you selected NO in Item 9, explain in Item 20.

Enter in Item 4(b) the location(s) of any meetings of any
convention or other policy-determining body which met
during the reporting period.

Enter in Item 4(d) the date(s) of any meeting of any
convention or other policy-determining body which met
during the reporting period.

The LMRDA defines “member in good standing” as any
person who has fulfilled the requirements for
membership in the organization and who neither has
voluntarily withdrawn from membership nor has been
expelled or suspended from membership after
appropriate proceedings consistent with lawful
provisions of the constitution and bylaws of such
organization.

5. REPRESENTATION OF THE TRUSTEED
ORGANIZATION—Select YES in Item 5 if the trusteed
organization was represented at the convention or other
policy-determining body reported in Item 4. If you
selected NO in Item 5, you must explain in Item 20 (on
page 2) why the trusteed organization was not
represented at the convention or other policydetermining body.

10. ELECTION NOTIFICATION—Select Item 10(a) if
you mailed a notice of the date, time, and place of the
delegate election to members of the trusteed
organization at their last known home address at least
15 days prior to the date of the delegate election. Select
Item 10(b) if members were notified by posting a notice
at the work site. Select Item 10(c) if members were
notified by placing a notice in the union newspaper.

Enter in Item 4(c) the type of convention or other policydetermining body which met during the reporting period
such as a district council, area conference, or joint
board.

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Select Item 10(d) if another method was used and
explain the method used in Item 20.

Select Item 16(b) if the officers were elected by
membership referendum. Select Item 16(c) if the officers
were elected by another method; explain the method in
Item 20.

NOTE: If the delegates elect officers of a national or
international labor organization or of an intermediate
body in a regularly scheduled election, section 401(e) of
the LMRDA requires that a notice of the date, time, and
place of the delegate election be mailed to members at
their last known home address not less than 15 days
prior to the date of the delegate election.

Complete Items 17 through 19 only if you selected
Item 16(b).
17. ELECTION NOTIFICATION—Select YES in Item 17
if an election notice was mailed to all members of the
trusteed organization at their last known home address
at least 15 days prior to the date of the election. Select
NO in Item 17 if the members were notified of the
election by another method; explain the method in Item
20.

11. VOTER ELIGIBILITY—Select YES in Item 11 if
every “member in good standing” of the trusteed
organization was eligible to vote in the delegate election
subject to reasonable qualifications uniformly imposed. If
you selected NO in Item 11, explain in Item 20.

NOTE: For a regularly scheduled referendum election of
officers, section 401 of the LMRDA requires that a notice
of the date, time, and place of the election be mailed to
members at their last known home address at least 15
days prior to the date of the election.

See Item 9 for the LMRDA definition of “member in good
standing.”
12. SECRET BALLOT ELECTION—Select YES in Item
12 if the delegate election in the trusteed organization
was held by “secret ballot.” If you selected NO in Item
12, explain in Item 20.

18. VOTER ELIGIBILITY—Select YES in Item 18 if
every “member in good standing” of the trusteed
organization was eligible to vote in the election subject to
reasonable qualifications uniformly imposed. If you
selected NO Item 18, explain in Item 20. The LMRDA
defines “member in good standing” as any person who
has fulfilled the requirements for membership in the
organization and who neither has voluntarily withdrawn
from membership nor has been expelled or suspended
from membership after appropriate proceedings
consistent with lawful provisions of the constitution and
bylaws of such organization.

The LMRDA defines “secret ballot” as the expression by
ballot, voting machine, or otherwise, but in no event by
proxy, of a choice with respect to any election or vote
taken upon any matter, which is cast in such a manner
that the person expressing such choice cannot be
identified with the choice expressed.
PART B—ELECTION OF OFFICERS, ITEMS 13 - 19
Complete Part B, Items 13 through 19 if, during the
reporting period, the labor organization imposing the
trusteeship held an election of officers.

19. ELECTION—Select YES in Item 19 if the election
was held by “secret ballot.” If you selected NO in Item
19, explain in Item 20.

NOTE: Section 303 of the LMRDA makes it unlawful to
count the vote of delegates from a trusteed organization
in any election of officers of the labor organization
imposing the trusteeship unless the delegates have
been chosen by secret ballot in an election in which all
the members in good standing of the trusteed
organization were eligible to participate. A similar
standard is set forth in 29 CFR 458.27 for labor
organizations subject to Title VII of the CSRA.

The LMRDA defines “secret ballot” as the expression by
ballot, voting machine, or other wise, but in no event by
proxy, of a choice with respect to any election or vote
taken upon any matter, which is cast in such a manner
that the person expressing such choice cannot be
identified with the choice expressed.
ADDITIONAL INFORMATION AND SIGNATURES

13. DATE OF ELECTION—Enter the date of the
election of officers of the labor organization imposing the
trusteeship.

20. ADDITIONAL INFORMATION—Use Item 20 (on
page 2) to provide additional information as indicated on
Form LM-15A and in these instructions. Enter the
number of the item to which the information relates in the
item number column if the software has not entered the
number. .

14. POSITIONS ELECTED—Enter the title of each
elected officer.
15. PARTICIPATION OF THE TRUSTEED
ORGANI ZATION—Select YES in Item 15 if the trusteed
organization participated in the election of officers. If you
selected NO in Item 15, explain in Item 20.

21 - 24. SIGNATURES—The completed Form LM-15A
which is filed with OLMS must be signed by the
president and treasurer or corresponding principal
officers of the organization which has imposed the
trusteeship, and all the trustees designated to supervise

16. METHOD OF ELECTION—Select Item 16(a) if the
officers were elected at a convention reported in Item 4.
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the affairs of the organization held in trusteeship. If the
report is signed by an officer other than the president
and/or treasurer, so indicate in Items 21 and/or 22 by
selecting “Other (Specify)” from the drop down box next
to the officer title listed (either President or Treasurer).
Then enter the correct title in the space provided. If the
trustees have a different title such as administrator,
select “Other (Specify)” from the drop down box next to
the Trustee title and enter the correct title in Items 23
and 24. If there are more than two trustees, EFS will
permit additional lines for more trustees to sign and date
the Form LM-15A.

Code of Federal Regulations (CFR) documents, is also
available on the Internet at: http://www.dol.gov/olms.
Additionally, you can call the OLMS national office at
(202) 693-0123 or email OLMS-Public@dol.gov.
Revised XX/2021

Enter the date the report was signed, the email address
and the telephone number(s) used by the signatories to
conduct official business. You do not have to report a
private, unlisted telephone number.
NOTE: Upon registering with OLMS, the signatories and
preparers must enter the email addresses they use to
conduct union business, in order to file the form via the
OLMS Electronic Forms System. While the email
addresses will not appear on the report, OLMS may use
the email address of the signatories and any preparers to
contact the union concerning LMRDA compliance.
If You Need Assistance
The Office of Labor-Management Standards has field
offices located in the following cities to assist you if you
have any questions concerning LMRDA and CSRA
reporting requirements.
Atlanta-Nashville
Boston-Buffalo
Chicago
Cincinnati-Cleveland
Dallas-New Orleans
Denver-St. Louis
Detroit-Milwaukee
Los Angeles
Philadelphia-Pittsburgh
New York
San Francisco-Seattle
Washington
Copies of labor organization annual financial reports,
employer reports, and labor relations consultant reports
filed for the year 2000 and after can be viewed and
printed at www.unionreports.gov. Copies of reports for
the year 1999 and earlier can be ordered through the
website.
Information about OLMS, including key personnel and
telephone numbers, compliance assistance materials,
the text of the LMRDA, and related Federal Register and
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