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
ERD-13521-E (Electronic Version - Word/132 KB)
ERD-13521 (Print Version - pdf/135 KB)
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