Get Instruction Sheet For Wsd-1.378iii Complaint Form

Filing a complaint using the WSD-1.378III Complaint Form is an important step to address grievances related to unlawful suspension, discharge, or discrimination due to work injury or drug testing. This guide provides clear and straightforward instructions to help you complete the form accurately and effectively.

Follow the steps to complete the form with ease.

1. Click the ‘Get Form’ button to access the WSD-1.378III Complaint Form and open it in your preferred editor.
2. Begin by entering your personal information in Items 1 through 8. This includes your name, address, phone numbers, email, and social security number.
3. In Items 9 through 13, fill out the employer's details. This should include the business name, address, phone number, and nature of the business.
4. Proceed to Items 14 through 22, where you will provide details regarding the alleged violation. Indicate whether the complaint relates to discharge, suspension, or discrimination, and provide the date related to your case.
5. In the 'Statement of Facts' section (Item 23), draft a brief account of the incident that you believe violates Section 378-32 of Hawaii Revised Statutes. Clearly state the unlawful act and the remedy you are seeking.
6. Once all fields are completed, ensure the form is signed in the presence of an authorized representative or notary public, especially if you are submitting it by mail.
7. Select your preferred delivery method and submit the completed form. You may also attach supporting documents or records.
8. After submission, consider saving a copy of your form for your records. You may then download, print, or share your form as necessary.

Complete your complaint form online today to ensure your rights are protected.