N.J. Admin. Code § 12:235-8.2

Current through Register Vol. 56, No. 24, December 18, 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).