New York Codes, Rules and Regulations
Title 12 - DEPARTMENT OF LABOR
Chapter I - Industrial Board Of Appeals
Subchapter B - Rules Of Procedure And Practice
Part 69 - Appeals Under Defense Emergency Act
Section 69.3 - Content of petition

Universal Citation: 12 NY Comp Codes Rules and Regs ยง 69.3

Current through Register Vol. 46, No. 12, March 20, 2024

(a) The petition shall state what dispensation is desired, what action was taken before and by the Commissioner of Labor, and the facts which the appellant claims to justify the dispensation.

(b) No special form is required. The following form is a suggestion:

STATE OF NEW YORK

INDUSTRIAL BOARD OF APPEALS

_____________X

Defense Emergency Act Appeal.......................................................................................................

.......................................................................................................

by

Petition

(Insert name of Appellant).......................................................................................................

_____________X

1. Appellant is (a resident of.. , residing at) (a New York corporation....................................................................................................... with offices at)

(insert address) engaged in.......................................................................................................

.......................................................................................................

_______________________________________________

_______________________________________________

(state nature of business).....................................................................................

___________________________________

at (insert plant address)......................................................................................

___________________......................................................................................

2. The following dispensation is desired:________________________________________

________________________

________________________

3. Application therefor was made on

(insert date).. to the Commissioner............................................................

......................................................................................

________________________

________________________

of Labor, who has taken the following action:________________________

________________________

________________________

4. The facts justifiying the dispensation are:___________________________

________________________

________________________

(Type name of Appellant)........................................................

________________________

(Signature of Appellant or authorized representative)

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