New Jersey. Phone: 609-292-2323 Fax: 609-633-9271. 0000003027 00000 n Division of Labor Standards State Office Campus Building 12, Room 185 Albany, NY 12240 (888) 4-NYSDOL or (518) 457-9000 (518) 457-8452 (fax) labor.sm.lsclaim.intake@labor.ny.gov Mandatory Overtime for Nurses Complaint Form Instructions: Please type or print legibly. Attorney’s Phone No. Use the saved form as a template for future Adjournment Requests. Please note that interactive Word forms do not convert properly into other word processsing software. The complaint must be filed within 180 days of the retaliatory action. After the complaint is received and filed, notice of conference will be issued by the labor board; approximately within 1 to 2 months. 0000001367 00000 n Auxiliary aids and services are available upon request to assist individuals with disabilities. The Occupational Health and Safety Administration asks that people filing emergency complaints use the phone to assure that it receives the complaint quickly. To submit a Complaint Inquiry form online, click here. 0000003301 00000 n New Jersey State Board of Cosmetology and Hairstyling (973) 504-6400 ; Career/vocational/trade school, contact: Department of Labor & Workforce Development (DLWD) (609) 659-9045 Civil rights complaints involving discrimination based on race, color, national origin, age, disability and sex, including sexual harassment, should be filed with: 0000007835 00000 n Labor Market Information: Directions/Office Information . 0000005885 00000 n 0000007814 00000 n This form can now be e-mailed to the individual district offices. Date of Injury Employer Equal Employment Opportunity Commission (EEOC) and/or the New Jersey Division on Civil Rights (DCR). Call (General COVID-19 Questions): 2-1-1. 0000002504 00000 n You can visit any of the offices for the Department of Labor and submit a complaint in person. The Department of Labor processes the following types of employment related complaints. The U.S. Department of Labor's Wage and Hour Division (WHD) is responsible for administering and enforcing some of the nation's most important worker protection laws. In addition to filing an internal complaint, individuals have the right to file complaints simultaneously with the U.S. You can find contact details for The New Jersey Department of Labor … Box 962, Trenton, NJ 08625 to request an appeal form. Call the Wage and Hour Division's toll-free help line: 1-866-4-USWAGE (1-866-487-9243) janitor, security guard, window cleaner, etc.) Follow  instructions on the form. Box 110 Trenton, NJ 08625-0110. The agency will also provide you the form to file a charge or complaint if you qualify. of Labor John Fitch Plaza 13th Floor, Suite D P.O. Having trouble finding your answer on our website? 0000005252 00000 n Follow instructions on the form. %PDF-1.3 %���� CM-972 (Form Name - Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by The U.S. Department of Labor; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation) But if your complaint is forwarded to an investigating lawyer member or to the chair of the OAE investigative committee, and the complaint is dismissed after an investigation, you can contact the New Jersey Disciplinary Review Board at P.O. Discrimination Complaint Form: scf-4 : PDF. COVID-19 Information Hub. Note that the paper-based form must be printed and signed, before submission to the Department. Governor Sheila Oliver, N.J.S.A 34:15-95.6 Worksheet for Supplemental Benefit Calculations, Dependency Claim Petition -To Convert Voluntary Tender to Formal Judgment. 0000001732 00000 n NJ Department of Labor & Workforce Development Division of Public Safety & Occupational Safety & Health Office of Public Employees’ Safety DISCRIMINATION COMPLAINT FORM Log No. This form must be mailed or faxed to Bureau of Public Work's Central Office. 0000001573 00000 n Official Site of the State Of New Jersey. The structure of such complaint forms make for a formalized and clear framework of facts, and Employers and Human Resource personnel utilizing these forms are presented with a systematic process for interpreting the issue at hand. This law is enforced by the National Labor Relations Board, which has the power to file a complaint in court against employers who violate the NLRA. * Request for Adjournment / Ready Hold  - page 1 (fillable): * Request for Adjournment / Ready Hold - additional page** Open form and enter in your firm name and contact info. 0000003066 00000 n 0000007228 00000 n 0000004094 00000 n The Department of Labor does not accept anonymous complaints; you must identify yourself in order to lodge a complaint. If you need to file a wage complaint or report a possible violation of either the Connecticut Family and Medical Leave Act or of the Connecticut Workplace Standard laws, you may now access the necessary forms through our Web site. 0000003280 00000 n H�tT�n�0}�+�2�p|l�ݤ�h��f��P�� Hi��i���w�&�[+$. If your employer takes disciplinary action against you for participating in an activities protected under the NLRA, you can submit a charge to the NLRB and have the matter investigated. Users that do not have Microsoft Word should use the PDF versions of these forms. The New Jersey Department of Labor and Workforce Development is an equal employment opportunity employer and provides equal opportunity programs. 0000008195 00000 n WHD is committed to ensuring that workers in this country are paid properly and for all … Commissioner New Jersey Dept. Some are also available in Microsoft Word format. 0000004640 00000 n This form can now be e-mailed to the individual district offices. 0000006647 00000 n Save the form onto your computer by hitting Save As. 0000028094 00000 n To view and print PDF forms, you must have Adobe Acrobat Reader which is a free download from Adobe. For further instructions and helpful hints on using interactive forms, click here. Those wishing to complain anonymously should print the form and mail it, or report the complaint via phone. The New Jersey Department of Labor and Workforce Development is an equal employment opportunity employer and provides equal opportunity programs. The OCC-57 Complaint form is provided for the assistance of any person in making a complaint to the NJ Department of Labor & Workforce Development or the NJ Department of Health, and is not intended to constitute the exclusive means by which a complaint may be submitted.. Occupational safety and health complaints under the New Jersey Public Employees Occupational Safety and Health … Click here to download free software.A NOTE ABOUT INTERACTIVE / FILLABLE FORMS: Many of the forms listed below can be filled out electronically and saved to your local drive. 0000005864 00000 n The majority of the forms available on our website are available in Adobe Acrobat (PDF) format. [1] 0000001045 00000 n Initial The New Jersey Department of Labor and Workforce Development complaints should be directed to their team directly. In the above example, the claimant had submitted a complaint to the labor board that alleged only $1,274.97 in unpaid straight time and that lacked the required Form 55 calculation exhibit. If you worked in New Jersey and you believe that your employer has not properly paid you or if you have a complaint against an employer for violating a NJ Labor Law enforced by Wage & Hour, you must file a wage claim in order to start the process. for a property owned or leased by the State of New Jersey. The Complaint Inquiry form should be used to report noncompliance with wage and hour or human rights laws. Return to nj.gov. (24/7) The conference is an opportunity for the employee, the employer, and/or both parties’ attorneys to attend and answer questions before a commissioner. If there is a conflict of interest, the complaint may be filed with the Division of EEO/AA. Auxiliary aids and services are available upon request to assist individuals with disabilities. Before filing a complaint with the New York State Department of Labor, make sure the situation is an accepted cause of action and that you understand the relevant laws. 0000001135 00000 n The commissioner will then finalize the labor board complaint. 0000063662 00000 n An Information Specialist will take the complaint information over the telephone and enter it into our computer data intake system. 9 0 obj << /Linearized 1 /O 11 /H [ 1135 232 ] /L 71069 /E 64037 /N 2 /T 70772 >> endobj xref 9 35 0000000016 00000 n 0000004661 00000 n General information on how to stay safe, test sites, financial assistance, unemployment, donations, food, and other non-medical needs. 0000007249 00000 n ΑNONYMOUS COMPLAINT FORM. To obtain a paper-based copy of the form, click here. 0000006626 00000 n An Employee Complaint Form allows an Employee to document and submit a grievance concerning inappropriate or illegal misconduct witnessed in the workplace. Also use this form if you provide building services (e.g. 0000060695 00000 n DOL Use Only Claimant’s Full Name Date of Complaint Present Address City State & Zip Claimant’s Phone No. Contact the nearest labor board regional office in your jurisdiction where the alleged violation occurred. 0000001346 00000 n Regarding the investigation of anonymous complaints, please note that upon receipt of the completed online forms, the complaints are evaluated and then processed through our internal procedures, which may include on-the-spot inspection by a competent inspector or officer of the Department. 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Complaint Forms (the Department does not accept anonymous complaints): Employee Complaint (PW-4) - to be used by a worker to file a claim that he/she was underpaid prevailing wages or supplements on a … WHD Response to COVID-19. Depending upon the type of complaint, you may need to provide certain documents such as W-2, paystubs, and/or any other supporting documents verifying the complaint. In order for the N.C. Department of Labor’s Wage and Hour Bureau to assist an employee with a wage dispute, a complaint must be filed with this office. ComplaintsBoard.com is not affiliated, associated, authorized, endorsed by, or in any way officially connected with The New Jersey Department of Labor and Workforce Development Customer Service. Google™ Translate is an online service for which the user pays nothing to obtain a purported language translation. To file a wage complaint, you must contact our Call‐Center at 1‐800‐625‐2267 (1‐800‐NC‐LABOR). The officer will help you determine if you are eligible for protection under the National Labor Relations Board. Google™ Translate is an online service for which the user pays nothing to obtain a purported language translation. 0000005231 00000 n 0000006483 00000 n trailer << /Size 44 /Info 7 0 R /Root 10 0 R /Prev 70763 /ID[<24f5559b5f02a400dbe26dffabeb2f2c><15472271a1db870b703ce0dd7f7501dd>] >> startxref 0 %%EOF 10 0 obj << /Type /Catalog /Pages 6 0 R /Metadata 8 0 R /PageLabels 5 0 R >> endobj 42 0 obj << /S 46 /L 133 /Filter /FlateDecode /Length 43 0 R >> stream Occupational Health and Safety: An employee may file a complaint with the New Jersey Department of Labor. 0000004073 00000 n Schedule of Disabilities E-Calendars, COURTS on-line  and E-Filing Miscellaneous. The State of NJ site may contain optional links, information, services and/or content from other websites operated by third parties that are provided as a convenience, such as Google™ Translate. Step 2: Complete the "Complaint of Discrimination in Employment Under Federal Government Contracts" form and submit it by: filing the complaint form electronically with the appropriate OFCCP Regional Office; or; mailing or faxing the complaint form to the appropriate OFCCP Regional Office; or; filing the complaint form in person with any OFCCP District or Area office. Below is a detailed list of information that is helpful for a third-party complainant to contact the Wage and Hour Division (WHD) on behalf of someone else. The State of NJ site may contain optional links, information, services and/or content from other websites operated by third parties that are provided as a convenience, such as Google™ Translate. Filed with the U.S Plaza 13th Floor, Suite D P.O not convert properly into other processsing. Provide you the form onto your computer by hitting save As paper-based copy of the offices for the of! 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