Retaliation Complaint - Public Employee Health and Safety Law

Document Number: ERD-13593

Description: This form should be used to file a complaint of Retaliation under the Public Employee Health and Safety Law.

Comments: This form must be signed by Complainant or authorized representative.

Content Contact: Equal Rights Information

Document Attachment: ERD-13593 (pdf/39 KB)

Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.