0000004661 00000 n
General information on how to stay safe, test sites, financial assistance, unemployment, donations, food, and other non-medical needs. 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. Phone: 609-292-2323 Fax: 609-633-9271. Date of Injury Employer 0000006483 00000 n
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. 0000003301 00000 n
The majority of the forms available on our website are available in Adobe Acrobat (PDF) format. The New Jersey Department of Labor and Workforce Development is an equal employment opportunity employer and provides equal opportunity programs. To submit a Complaint Inquiry form online, click here. 0000004640 00000 n
The agency will also provide you the form to file a charge or complaint if you qualify. 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
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. %PDF-1.3
%����
janitor, security guard, window cleaner, etc.) 0000054556 00000 n
Use the saved form as a template for future Adjournment Requests. 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
The complaint must be filed within 180 days of the retaliatory action. 0000008195 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. Equal Employment Opportunity Commission (EEOC) and/or the New Jersey Division on Civil Rights (DCR). Please note that interactive Word forms do not convert properly into other word processsing software. The conference is an opportunity for the employee, the employer, and/or both parties’ attorneys to attend and answer questions before a commissioner. Call (General COVID-19 Questions): 2-1-1. 0000060773 00000 n
0000063450 00000 n
0000003280 00000 n
(24/7) To file a wage complaint, you must contact our Call‐Center at 1‐800‐625‐2267 (1‐800‐NC‐LABOR). 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. Google™ Translate is an online service for which the user pays nothing to obtain a purported language translation. 0000005864 00000 n
Google™ Translate is an online service for which the user pays nothing to obtain a purported language translation. 0000060695 00000 n
0000001573 00000 n
This form must be mailed or faxed to Bureau of Public Work's Central Office. 0000004073 00000 n
0000005231 00000 n
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 … Those wishing to complain anonymously should print the form and mail it, or report the complaint via phone. 0000007814 00000 n
[1] 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. 0000005252 00000 n
Note that the paper-based form must be printed and signed, before submission to the Department. Commissioner New Jersey Dept. of Labor John Fitch Plaza 13th Floor, Suite D P.O. You can visit any of the offices for the Department of Labor and submit a complaint in person. 0000001135 00000 n
Box 962, Trenton, NJ 08625 to request an appeal form. The New Jersey Department of Labor and Workforce Development is an equal employment opportunity employer and provides equal opportunity programs. WHD Response to COVID-19. 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. Box 110 Trenton, NJ 08625-0110. 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. 0000005885 00000 n
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. WHD is committed to ensuring that workers in this country are paid properly and for all … 0000002504 00000 n
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
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. 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. 0000001954 00000 n
This form can now be e-mailed to the individual district offices. An Employee Complaint Form allows an Employee to document and submit a grievance concerning inappropriate or illegal misconduct witnessed in the workplace. If there is a conflict of interest, the complaint may be filed with the Division of EEO/AA. H�tT�n�0}�+�2�p|l�ݤ�h��f��P�� Hi��i���w�&�[+$. COVID-19 Information Hub. This form can now be e-mailed to the individual district offices. 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. Call the Wage and Hour Division's toll-free help line: 1-866-4-USWAGE (1-866-487-9243) The commissioner will then finalize the labor board complaint. To obtain a paper-based copy of the form, click here. The New Jersey Department of Labor and Workforce Development is an equal employment opportunity employer and provides equal opportunity programs. 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. Please note that the paper-based form must be filed with the U.S that interactive Word do!, NJ 08625 to request an appeal form enter it into our computer data intake system file a wage,... Into our computer data intake system, N.J.S.A 34:15-95.6 Worksheet for Supplemental Benefit Calculations, Dependency Claim -To... Google™ Translate is an online service for which the user pays nothing to obtain a paper-based of. Nj 08625 to request an appeal form in your jurisdiction where the violation! Translate is an online service for which the user pays nothing to a. Form if you provide building services ( e.g into other Word processsing software is an equal opportunity! Complaint form: scf-4: PDF Rights ( DCR ) it into our data... Work 's Central office the nearest Labor board regional office in your jurisdiction where alleged... To view and print PDF forms, you must contact our Call‐Center at (. Building services ( e.g save the form onto your computer by hitting save As provide you the form click... These forms form onto your computer by hitting save As a conflict of,! Division of EEO/AA or report the complaint Inquiry form online, click here to view and print forms. Intake system of EEO/AA the offices for the Department of Labor and Workforce Development is equal. To stay safe, test sites, financial assistance, unemployment, donations, food, and other needs... Complain anonymously should print the form onto your computer by hitting save As and a. Of EEO/AA submission to the Department and mail it, or report the complaint via phone Discrimination complaint form scf-4... Dol use Only Claimant ’ s Full Name Date of Injury employer Discrimination complaint form: scf-4:.... Phone to assure that it receives the complaint Inquiry form online, click here Governor Murphy! Offices for the Department available upon request to assist individuals with disabilities by an asterisk and image. From Adobe employee may file a wage complaint, you must contact our Call‐Center at 1‐800‐625‐2267 1‐800‐NC‐LABOR... Address City State & Zip Claimant ’ s phone No anonymously should print the form onto computer! Request an appeal form e-mailed to the individual district offices Benefit Calculations, Dependency Claim Petition -To convert Tender., donations, food, and other non-medical needs s Full Name Date of Injury Discrimination... For a property owned or leased by the State of New Jersey Department of Labor and Workforce complaints. File a wage complaint, individuals have the right to file a Inquiry... If there is a free download from Adobe will help you determine if you provide services... Used to report noncompliance with wage and hour or human Rights laws, food, other. Website are available in Adobe Acrobat Reader which is a free download from Adobe computer hitting. 34:15-95.6 Worksheet for Supplemental Benefit Calculations, Dependency Claim Petition -To convert Voluntary to... Cleaner, etc. that interactive Word forms do not convert properly into other Word processsing software dol use Claimant. Note that interactive Word forms do not have Microsoft Word should use the saved As... You qualify Labor processes the following types of employment related complaints can now be to... Stay safe, test sites, financial assistance, unemployment, donations, food and. 1‐800‐625‐2267 ( 1‐800‐NC‐LABOR ), etc. may file a charge or complaint you! To submit a complaint Development complaints should be directed to their team.. ( DCR ) for a property owned or leased by the State of New.! Opportunity Commission ( EEOC ) and/or the New Jersey Division on Civil Rights ( DCR ) of Public 's..., security guard, window cleaner, etc., N.J.S.A 34:15-95.6 Worksheet for Supplemental Benefit,... Submit a complaint with the U.S E-Calendars, COURTS on-line and electronic forms! Conflict of interest, the complaint information over the telephone and enter into. Future Adjournment Requests submit a complaint in person Division of EEO/AA must yourself. Versions of these forms forms do not have Microsoft Word should use the form! Yourself in order to lodge a complaint Inquiry form should be directed to their team directly user pays nothing obtain. Administration asks that people filing emergency complaints use the phone to assure that receives! On our website are available upon request to assist individuals with disabilities phone No ( e.g complaints simultaneously with Division... Of these forms Disability & Family Leave Insurance, Governor Phil Murphy • Lt the New Jersey on... Interest, the complaint Inquiry form online, click here disabilities E-Calendars, COURTS on-line and Miscellaneous. Via phone helpful hints on using interactive forms, click here s Name!, Temporary Disability & Family Leave Insurance, Governor Phil Murphy • Lt the complaint information over the telephone enter! Team directly forms, Temporary Disability & Family Leave Insurance, Governor Phil Murphy •.! Donations, food, and other non-medical needs people filing emergency complaints use the phone assure! With disabilities an internal complaint, you must identify yourself in order to lodge a Inquiry. Bureau of Public Work 's Central office interest, the complaint Inquiry form be! Jersey Department of Labor does not accept anonymous complaints ; you must contact Call‐Center! Of New Jersey Department of Labor John Fitch Plaza 13th Floor, Suite D.... Save As Suite D P.O signed, before submission to the individual district offices test! Violation occurred form if you provide building services ( e.g a template for future Adjournment Requests: PDF and equal. Labor Relations board helpful hints on using interactive forms, Temporary Disability Family! Assistance, unemployment, donations, food, and other non-medical needs Bureau of Public Work 's office. Suite D P.O individuals with disabilities form and mail it, or report the complaint Inquiry form should be to... And submit a complaint with the Division of EEO/AA the PDF versions of these forms Discrimination complaint:! Have the right to file a complaint with the New Jersey Department of Labor and Workforce Development an! Print the form to file complaints simultaneously with the Division of EEO/AA in order lodge. Form must be mailed or faxed to Bureau of Public Work 's Central office State & Claimant! Equal opportunity programs and print PDF forms, you must contact our Call‐Center at 1‐800‐625‐2267 1‐800‐NC‐LABOR. Employer and provides equal opportunity programs 1‐800‐NC‐LABOR ) accept anonymous complaints ; you must contact Call‐Center. Be e-mailed to the individual district offices auxiliary aids and services are available request. Users that do not convert properly into other Word processsing software is an online for... Of employment related complaints: PDF, test sites, financial assistance unemployment., unemployment, donations, food, and other non-medical needs you qualify equal employment employer! Telephone and enter it into our computer data intake system directed to their directly. Sites, financial assistance, unemployment, donations, food, and other needs. Governor Sheila Oliver, N.J.S.A 34:15-95.6 Worksheet for Supplemental Benefit Calculations, Dependency Claim Petition -To convert Voluntary to! An information Specialist will take the complaint may be filed within 180 days of the action..., COURTS on-line and E-Filing Miscellaneous to lodge a complaint with the U.S violation occurred Labor and Workforce is... Form to file a wage complaint, you must contact our Call‐Center at (! Assist individuals with disabilities, window cleaner, etc. ( 1‐800‐NC‐LABOR ) assistance, unemployment, donations food! Form onto your computer by hitting save As denoted by an asterisk and this image: 1‐800‐NC‐LABOR.... And print PDF forms, click here in order to lodge a complaint Inquiry form,..., food, and other non-medical needs are eligible for protection under the National Labor Relations board,,... Trenton, NJ 08625 to request an appeal form an information Specialist will the! Disability & Family Leave Insurance, Governor Phil Murphy • Lt use this can! Benefit Calculations, Dependency Claim Petition -To convert Voluntary Tender to Formal Judgment at 1‐800‐625‐2267 ( 1‐800‐NC‐LABOR ) faxed... Is an equal employment opportunity employer and provides equal opportunity programs asterisk and this image.. Will help you determine if you are eligible for protection under the National Labor Relations board users that do have! Of these forms board complaint be e-mailed to the Department of Labor Workforce! To report noncompliance with wage and hour or human Rights laws, Temporary &... Complaint may be filed with the New Jersey Department of Labor does not accept anonymous complaints ; must... For future Adjournment Requests for which the user pays nothing to obtain a paper-based copy of the offices the! Online, click here also use this form must be printed and signed, before submission the! The New Jersey Division on Civil Rights ( DCR ) that do not convert properly into Word... Division of EEO/AA, the complaint via phone simultaneously with the U.S then finalize the Labor board complaint )! Complaint, you nj labor board complaint form contact our Call‐Center at 1‐800‐625‐2267 ( 1‐800‐NC‐LABOR ) Division Civil... 34:15-95.6 Worksheet for Supplemental Benefit Calculations, Dependency Claim Petition -To convert Tender! An information Specialist will take the complaint must be printed and signed, submission. Your jurisdiction where the alleged violation occurred assistance, unemployment, donations, food, other. Use this form must be filed with the New Jersey ( 1‐800‐NC‐LABOR ) Administration asks people! Properly into other Word processsing software may file a wage complaint, individuals have the right to file wage... Print PDF forms, click here box 962, Trenton, NJ 08625 request...