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SOUTH DAKOTA DEPARTMENT OF LABOR DIVISION OF LABOR AND MANAGEMENT, Claimant, HF No. v., Employer, SMALL CLAIMS PETITION FOR HEARING And, Insurer. , Claimant, makes claim against, Employer, and, Insurer,

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Begin by carefully reading the instructions provided on the form. Ensure that you understand the purpose of the form and the information required.

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Who needs for hearing - dol:

01

Individuals who have filed a complaint related to labor or employment issues with the Department of Labor (DOL) may need to fill out this form.

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Employers who are required to respond to a complaint or request for information from the DOL may also need to complete this form.

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The form may be required for both parties involved in a hearing or investigation conducted by the DOL, such as employees and employers.

Note: It's always advisable to consult with a legal professional or the specific instructions provided by the DOL to ensure accurate completion of the form for your specific case.

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