Document Number: ERD-13594
Description: This form should be used to file a complaint of Retaliation under the Employee Right to Know About Toxic Substances or Infectious Agents on the Job law.
Comments: This form must be signed by Complainant or authorized representative.
Content Contact: Equal Rights Information
Document Attachment: ERD-13594 (pdf/32 KB)
Note: If you need this form in an alternate format, please send a message to the Content Contact listed above.