Forms from the Department of Labor

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FORMS FROM THE

Department of Labor


	Application for a Minor's Employment Certificate (252KB) Assignment of Claim (247KB) Community Service Assignment Form (301KB) Complaint of Unlawful Employment Practice Due to Discrimination (86KB) Complaint Withdrawal (282KB) Employee's Confidential Complaint Statement (364KB) Exit Form (310KB) PY2003-PY2004 Income Eligibility (302KB) Fair Employment Practice Office Interview Process Form (272KB) Employee's Confidential Complaint Statement: Personal Interview Statement (261KB) Unsubsidized Employment Form (347KB)

	Senior Community Service Employment Program (SCSEP) Forms:
	Enrollee Commitment (281KB) Enrollee Task Description (303KB) Host Agency Agreement (290KB) Participant Form (394KB) Enrollee's Work Authorization Jan. 1, 2003 - June 30, 2004 (289KB)

	Worker's Compensation Commission Forms:
	Physician's Authorization to Treat Injuries (243KB) Employee's Notification of Injury, Illness, etc. (231KB) Employer's Notification of Injury, Illness, etc. (266KB)