N.Y. Comp. Codes R. & Regs. tit. 12, § 71.4

Form and content of petition.

Department of Labor
  1. (a) contain a caption in the following form:

    STATE OF NEW YORK

    INDUSTRIAL BOARD OF APPEALS

    X

    :

    In the Matter of the Petition of: :

    (insert name of petitioner)

    Petitioner, :

    To Review under Section 677 of the :

    Labor Law an Order to Comply :

    with Minimum Wage Order No. ________ :

    or Regulation. ________ :

    —against— :

    The Commissioner of Labor, :

    Respondent. :

    X

  2. (b) state the address of the petitioner;
  3. (c) attach a complete copy of the compliance order in issue;
  4. (d) state clearly and concisely the grounds on which the order in issue is alleged to be incorrect, improper, unreasonable or invalid;
  5. (e) state any other material or relevant facts;
  6. (f) set forth with particularity the relief requested; and
  7. (g) be signed by the petitioner or his authorized representative.

The petition shall:

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