California Code of Regulations
Title 8 - Industrial Relations
Division 1 - Department of Industrial Relations
Chapter 6 - Division of Labor Standards Enforcement
Subchapter 3 - Employment Agencies
Article 2 - Controversies Submitted Under Section 1700.44, Labor Code
Section 12022.1 - Form of Petition

Universal Citation: 8 CA Code of Regs 12022.1
Current through Register 2024 Notice Reg. No. 38, September 20, 2024

The following form represents the minimum requirements for Petition to Determine Controversy.
NAME OF REPRESENTATIVE
___________________________or of PROPRIA PERSONA
___________________________Street Address
___________________________City and State
___________________________Telephone Number
___________________________Representative for Petitioner
or
___________________________In Propria Persona
BEFORE THE LABOR COMMISSIONER OF THE STATE OF CALIFORNIA

___________________________)No. _________________________
Petitioner(s),)
vs.)PETITION TO DETERMINE
___________________________)CONTROVERSY
Respondent(s).)
___________________________)(Labor Code Section 1700.44)

Petitioner alleges as follows:
I
This petition is filed pursuant to the authority of Section 1700.44 of the Labor Code of the State of California.
II
At all times mentioned herein __________ (Name Petitioner or Respondent) was and is now a resident of the County of __________, State of California, and an artist (or talent agency) as that term is defined in Section 1700.4 of the Labor Code.
III
At all times mentioned herein petitioner (or respondent) acted in the capacity of a talent agency and was (or was not) duly licensed by the laws of the State of California.
IV
On or about __________, 19 __________, the parties hereto entered into a(n) __________ contract. (Insert "written" or "oral". If written, add the following sentence, "A copy of said contract is attached hereto marked Exhibit "A".") (If oral, state the terms thereof in this paragraph.)
V
A controversy has arisen between petitioner and respondent under said contract in that petitioner contends, and respondent denies.... (Set forth facts of the controversy.)
WHEREFORE, petitioner seeks the following determination: (Set forth what relief is sought.)

___________________________DATED:
NAME OF REPRESENTATIVE
________________By___________
Representative for Petitioner
or
Petitioner in Propria Persona

1. Amendment filed 7-20-89; operative 8-19-89 (Register 89, No. 30). For prior history, see Register 84, No. 11.

Note: Authority cited: Section 1700.29, Labor Code. Reference: Section 1700.44, Labor Code.

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