N.Y. Comp. Codes R. & Regs. tit. 12 § 69.3

Current through Register Vol. 46, No. 25, June 18, 2024

Section 69.3 - Content of petition

(a) The petition shall state what dispensation is desired, what action was taken before and by the Commissioner of Labor, and the facts which the appellant claims to justify the dispensation.

(b) No special form is required. The following form is a suggestion:

STATE OF NEW YORK

INDUSTRIAL BOARD OF APPEALS

_____________X

Defense Emergency Act Appeal.......................................................................................................

.......................................................................................................

Petition

(Insert name of Appellant).......................................................................................................

_____________X

1. Appellant is (a resident of.. , residing at) (a New York corporation....................................................................................................... with offices at)

(insert address) engaged in.......................................................................................................

.......................................................................................................

_______________________________________________

(state nature of business).....................................................................................

___________________________________

at (insert plant address)......................................................................................

___________________......................................................................................

2. The following dispensation is desired:________________________________________

________________________

3. Application therefor was made on

(insert date).. to the Commissioner............................................................

......................................................................................

________________________

of Labor, who has taken the following action:________________________

________________________

4. The facts justifiying the dispensation are:___________________________

________________________

(Type name of Appellant)........................................................

________________________

(Signature of Appellant or authorized representative)

N.Y. Comp. Codes R. & Regs. Tit. 12 § 69.3