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MIOSHA DISCRIMINATION COMPLAINT FORM - …

Michigan Department of Labor and Economic Opportunity Michigan Occupational Safety and Health Administration MIOSHA DISCRIMINATION COMPLAINT FORM Return completed form to: MIOSHA -GI-516 (9/2019) EMPLOYEE DISCRIMINATION SECTION CADILLAC PLACE 3026 W. GRAND BLVD. SUITE 9-450 DETROIT, MICHIGAN 48202 (313) 456-3109 (313) 456-4226 FAX The Department of Labor and Economic Opportunity will not discriminate against any individual or group because of race, sex, religion, age, national origin, color, marital status, disability, or political beliefs. If you need assistance with reading, writing, hearing, etc., under the Americans with Disabilities Act, you may make your needs known to this agency. *Information Required to Complete Form Complainant:* Date of Hire:* Job Title and Department:* Case No.

Michigan Department of Licen sing and Regulatory Affairs Michigan Occupational Safety & Health Administration MIOSHA DISCRIMINATION COMPLAINT FORM

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