A SEPARATE WC-104A MUST BE FILED FOR EACH EMPLOYER. You will need to fill out all of the following information in the Notice of Hearing section of the form.INSTRUCTIONS: Complete items 1 through 14 on following pages. (2) A request for a hearing filed pursuant to subrule (1) shall include the following. This document provides information on how the ADA applies to job applicants and employees with hearing disabilities. When you fill out the form, leave the signature line blank. You must wait and sign the form in front of a notary public or a court clerk. These are the most frequently requested US Department of Labor forms. You can complete some forms online, while you can download and print all others. If you believe your NLRA rights have been violated, you may file a charge against an employer or a labor organization.