Retaliation Complaint - Elder Abuse/Health Care Worker Laws

Document Number:  ERD-13521-E

Description:  This form should be used to file a complaint of Retaliation under the Elder Abuse or Health Care Protection Laws.

Comments:  This form must be signed by Complainant or authorized representative.

Content Contact:  Equal Rights Information

Document Attachments:

ERD-13521-E (Electronic Version - Word/132 KB)

ERD-13521 (Print Version - pdf/135 KB)

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