South Dakota > Workers Compensation
Request For Fact Finding - South Dakota
| Request For Fact Finding Form. This is a South Dakota form and can be used in Workers Compensation . |
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SOUTH DAKOTA DEPARTMENT OF LABOR DIVISION OF LABOR AND MANAGEMENT , Petitioner, vs. , Respondent. HF No. REQUEST FOR FACT FINDING 1. Employee or Employee Organization: Name of contact person: Address: Telephone: Employer: Name of contact person: Address: Telephone: Date Impasse declared: Date Conciliation held: Brief statement of Impasse: 2. 3. 4. 5. By:_____________________________ DOL-LM 8/02 1 American LegalNet, Inc. www.FormsWorkFlow.com
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