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U.S. Department of Labor Occupational Safety and Health Administration 1030 St. Georges Avenue Suite 205, Plaza 35 Avenge, NJ 0700 I Phone: 7327503270 Fax: 7327504737To: Mr. William Monica, Owner FORMICA
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Check the requirements of the specific jurisdiction for filling out a citation and notification of penalty form.
02
Gather all the necessary information such as the offender's name, address, and contact details.
03
Clearly state the offense committed and provide any relevant supporting evidence.
04
Include the date, time, and location of the offense.
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Submit the completed form to the appropriate authority or entity responsible for processing citations and penalties.
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Who needs citation and notification ofpenalty?

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Citation and notification of penalty forms are typically needed by law enforcement agencies, regulatory bodies, or government authorities responsible for enforcing laws and regulations.
02
They are used to inform individuals who have committed an offense or violated regulations about the penalty or fine they are required to pay, and to create a legal record of the incident.
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Citation and notification of penalty is a document that informs an individual or organization of a violation and the associated penalty.
The individual or organization responsible for the violation is required to file citation and notification of penalty.
The citation and notification of penalty should be filled out with all relevant information regarding the violation, penalty, and any supporting documents.
The purpose of citation and notification of penalty is to inform the individual or organization of the violation, penalty, and any required actions to rectify the situation.
The citation and notification of penalty must include details of the violation, the associated penalty, any supporting evidence, and instructions on how to address the issue.
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