Section Lab 904.02 - Public Employee Complaint Form(a) A public employee filing a complaint under the provisions of RSA 275-E:8 shall supply the following on the "Complaint Form for Public Employees" provided by the department of labor: (1) The complainant's name;(2) The complainant's mailing address and telephone number;(3) The name and address of the employer/public entity the complaint is filed against;(4) The name and telephone number of the contact person for a potential investigation;(5) An indication as to whether the complaint concerns possible fraud, waste, or abuse in the expenditure of public funds or relating to programs and operations involving the procurement of any supplies, services, or construction by governmental entities within the state;(6) A detailed description of the possible fraud, waste, or abuse in the expenditure of public funds relating to programs and operations involving the procurement of any supplies, services, or construction by governmental entities within the state;(7) The name and title of the person to whom the alleged possible fraud, waste, or abuse in the expenditure of public funds was reported;(8) How long the employer was given to correct the alleged possible fraud, waste, or abuse in the expenditure of public funds before reporting it to the department of labor;(9) If the alleged possible fraud, waste, or abuse in the expenditure of public funds was not reported to the employer, the reason why it was not;(10) The signature and date of the complainant certifying that the complaint is a truthful statement of the facts involved; and(11) The signature and date of the complainant if authorizing the department of labor to disclose the complainant's identity to the appropriate enforcement authority if the compliant is deemed by the department of labor to have merit.(b) The form shall include a statement notifying the complainant, pursuant to RSA 275-E:8, II, that if the complaint is referred to a law enforcement agency for a criminal investigation the complainant's identity shall be disclosed to the agency without the complainant's consent.N.H. Admin. Code § Lab 904.02
#7351, eff 8-24-00, EXPIRED: 8-24-08
New. #9257, eff 9-11-08; ss by #10522, eff 2-15-14
Amended by Number 37, Filed September 14, 2023, Proposed by #13731, Effective 8/25/2023, Expires 8/25/2033.