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Conscientious Employee Protection Act Whistleblower Employer retaliatory action; protected employee actions; employee responsibilities 1. New Jersey law prohibits an employer from taking any retaliatory
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Download the www.nj.gov/labor/forms/pdfs/conscientious_employee_protection_act.pdf form from the website.
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Open the downloaded form using a PDF reader.
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Read the instructions provided at the beginning of the form.
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Fill in your personal information such as your name, address, and contact details in the designated fields.
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Review the rights and protection provided by the Conscientious Employee Protection Act (CEPA) and understand your obligations and responsibilities as an employee.
06
If you believe you have been subject to retaliation or reprisal for whistleblowing or reporting unlawful activities, provide a detailed account of the incident in the appropriate section of the form.
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Sign and date the form to certify the accuracy and completeness of the information provided.
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Submit the completed form to the appropriate department or authority as specified in the instructions.

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The Conscientious Employee Protection Act (CEPA) is designed to protect employees who report unlawful activities, health or safety violations, or other wrongdoing in the workplace. Any employee who believes they have been subject to retaliation or reprisal for whistleblowing may need the www.nj.gov/labor/forms/pdf/conscientious_employee_protection_act form to report their complaints and seek legal protection.
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The Conscientious Employee Protection Act (CEPA) is a law in New Jersey that protects employees from retaliation by their employers for reporting or objecting to illegal activities.
Employees who believe they have been retaliated against by their employer for reporting illegal activities are required to file a complaint under CEPA.
To fill out the CEPA complaint form, employees must provide detailed information about the alleged retaliation and submit the form to the New Jersey Department of Labor.
The purpose of CEPA is to protect employees who report illegal activities in the workplace from retaliation by their employers.
Employees must report details of the alleged retaliation, including dates, times, and specific actions taken by the employer.
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