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SOUTH DAKOTA DEPARTMENT OF LABOR DIVISION OF LABOR (State of South Dakota)

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SOUTH DAKOTA DEPARTMENT OF LABOR
DIVISION OF LABOR AND MANAGEMENT
,
Petitioner,
vs.
,
Respondent.
HF No.
PETITION FOR HEARING ON UNFAIR
LABOR PRACTICE
1. Employee or Employee Organization:
Name of contact person:
Address:
Telephone
2. Employer:
Name of contact person:
Address
Telephone
STATEMENT OF UNFAIR LABOR PRACTICE:
______________________ _________
Signature Date
DOL-LM 8/02
1
HELP
PRINT FOR MAILING
CLEAR FORM
Complete and use the button at the end to print for mailing.
SD EForm -
1651
V1
1.
SD DEPARTMENT OF LABOR AND REGULATION
DIVISION OF LABOR AND MANAGEMENT
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SOUTH DAKOTA DEPARTMENT OF LABOR DIVISION OF LABOR (State of South Dakota)

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Completed 29 April 2022

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