The petition shall:
STATE OF NEW YORK
INDUSTRIAL BOARD OF APPEALS
X...................................................................................................................
- :...................................................................................................................
In the Matter of the Application of.. :...................................................................................................................
: (insert name of applicant)...................................................................................................................
For a stay to permit use after issuance of an
...................................................................................................................
Applicant,
:
"unsafe notice" by the Commissioner of Labor.. :...................................................................................................................
declaring unsafe and prohibiting the use of (identify subject in issue).. :................................................
....................................................................................
-against-
:
The Commissioner of Labor,.. :...................................................................................................................
:
Respondent.
:
..X...................................................................................................................
N.Y. Comp. Codes R. & Regs. Tit. 12 § 72.3