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Get and Sign Labor Standards Complaint Form
Claim 40d. Division of Labor Standards Harriman State Office Campus Building 12 Room 266B Albany NY 12240 Office Use Only LS ID LCM PV Priority Taken by Date www. Retaliatory Action 39a. Did you complain to your employer about this or another labor law violation 39b. Time off for Meals E. Total Hours 30 min F. Weekly Total 36a. Are the hours worked listed above the same every week 36b. Email restaurant retail store domestic help construction office other 12. Total of employees Yes 13a. Is the...Show details
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