N.J. Admin. Code § 12:235-8.2

Current through Register Vol. 56, No. 11, June 3, 2024

Section 12:235-8.2 - Contents of discrimination complaints

(a) The complaint alleging discrimination shall be under the oath or affirmation of the complainant, and shall be on a form prescribed by the Division.

(b) The complaint alleging discrimination shall include the following:

1. Complainant's name, address, Social Security number, and claim petition number, if a claim for formal hearing has been filed;

2. The name and address of the insurance carrier for the employer;

3. The date of complainant's accident;

4. Complainant's occupation and wages;

5. Complainant's current employment and wages;

6. Complainant's occupational duties and indication as to whether he or she is able to perform those duties;

7. The date and reason for complainant's termination of employment;

8. The factual and legal reasons for alleging discrimination;

9. Such other information as requested by the Director.

N.J. Admin. Code § 12:235-8.2

Amended by R.1991 d.466, effective 9/3/1991.
See: 23 New Jersey Register 1759(a), 23 New Jersey Register 2642(a).
Stylistic changes.
Petition for rulemaking.
See: 33 New Jersey Register 135(a).