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Document Number: ERD-13859-E
Description: This form should be used to file a Complaint of Retaliation under the Whistleblower Law for state employees.
Comments: This form must be signed by Complainant or authorized representative.
Content Contact: Equal Rights Information
ERD-13859-E (Electronic Version - Word/86 KB)
ERD-13859 (Print Version - pdf/29 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.