North Dakota Complaint against Railroad by Employee for Hearing Loss

State:
Multi-State
Control #:
US-01614
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample civil complaint for a lawsuit for damages. It will need to be adapted to fit your facts and circumstances, and to comply with your state's procedural law.The form is a useful model from which to base your Complaint.
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  • Preview Complaint against Railroad by Employee for Hearing Loss
  • Preview Complaint against Railroad by Employee for Hearing Loss

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FAQ

How do I file a complaint with the Board about a doctor or physician assistant? You may file a complaint by going to "File a Complaint" under the Public section of the board's home page. You may download a written complaint form that may be faxed or mailed to the board office.

You should also be aware that you can lodge a complaint directly with the Indiana State Department of Health by calling 800.246. 8909 or emailing complaints@isdh.in.gov.

Report a concern online by completing and submitting the Long-Term Care Ombudsman Program Complaint Form (SFN 1829), or. Sending an encrypted email to dhsagingombud@nd.gov , or. Calling toll-free (855) 462-5465, select option 3, or (701) 328-4617.

Call the Consumer Protection division at (701) 328-3404, or local law enforcement.

The form is available here or call NDHIN at (855) 761-0534. The complaint form may be submitted by mail or electronically. If the complaint relates to a suspected violation or breach of PHI, the complaint must be filed within 180 days from the date of becoming aware of a suspected violation.

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North Dakota Complaint against Railroad by Employee for Hearing Loss