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Retaliation Complaint OFFICE USE ONLY Taken by: Office: Employee Name:Taken by:PLEASE PRINT OR TYPE ALL INFORMATIONTaken by:Date filed:LC Violation:Case #:Action:SIC #:Refer to the accompanying Guide
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The California Department of Industrial Relations (DIR) is responsible for overseeing the health and safety of California's workers.
All employers in California are required to file the necessary forms with the Department of Industrial Relations.
Employers can fill out the necessary forms online through the DIR website or submit paper forms by mail.
The purpose of the California Department of Industrial Relations is to ensure safe and healthy working conditions for all workers in the state.
Employers must report information such as workplace injuries, illnesses, and safety violations on the California Department of Industrial Relations forms.
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