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NJ Department of Labor & Workforce Development Division of Public Safety & Occupational Safety & Health Office of Public Employees Safety Log No. DOL Use Only DISCRIMINATION COMPLAINT.

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If you believe working conditions are unsafe or unhealthful, you may file a confidential complaint with OSHA and ask for an inspection. If possible, tell your employer about your concerns.

For more information or to file a complaint, please visit NJCivilRights.gov, review DCR's fact sheet on Civil Rights and COVID-19, or call 973-648-2700.

New Jersey operates an OSHA-approved State Plan covering only state and local government workers. Private sector employers and their workers are covered by federal OSHA.

1960.28 - Employee reports of unsafe or unhealthful working conditions.

For more information or to file a complaint, please visit NJCivilRights.gov, review DCR's fact sheet on Civil Rights and COVID-19, or call 973-648-2700.

Public Employees can file a health and safety complaint, including a COVID-19 specific complaint, using this form. Forms can be submitted by email to peosha@dol.nj.gov.

Occupational Safety and Health Administration.

If you are willing to provide your name and contact information, you may file a complaint online with the Department of Health. Otherwise, you may make an anonymous complaint at the Department of Health complaint hotline by calling 800-792-9770, 24 hours a day.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232