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Grievance - Minnesota Department Of Labor And Industry - Office Of Combative Sports Form

MINNESOTA COMBATIVE SPORTS COMMISSION

TENNESSEN WARNING

SUBJECT OF COMPLAINT

The information you provide to the Minnesota Office of Combative Sports and the

Minnesota Commissioner of Labor and Industry (OCS) in your complaint may be

considered private or confidential under the Minnesota Government Data Practices Act.

Minnesota Statutes section 13.04(2) requires that we notify you of the following matters

before you supply any private or confidential information about yourself in response to

the allegations that will be considered by the OCS.

This information is being collected as part of an investigation into your conduct,

and the information you supply to the OCS may be used to determine whether

you have violated any statutes or rules enforced or administered by the OCS.

You are not required to cooperate with the investigations of the OCS. You are

also advised that you are not required to incriminate yourself in any possible

criminal investigation and you may exercise your constitutional right to refuse to

supply any information on grounds that you might incriminate yourself.

If you supply the information requested and it shows a violation of any of the

statutes or rules enforced by the OCS, then you may be subject to a finding of

probable cause and/or other enforcement action by the OCS.

If you choose to not supply the OCS with any information in response to the

allegations that will be considered by the OCS, whether or not the choice is

based on your constitutional right to refuse to supply the OCS with the requested

information, then the Department of Labor and Industry has the right to base its

decision whether to pursue further action against you based on the other

information which is available to the OCS from other sources.

You are advised that the information which you supply will be accessible to staff

of the OCS office, and the Office of the Attorney General. It may be released to

other persons and/or governmental entities who have statutory authority to

review the information, investigate specific conduct and/or take appropriate legal

action, including but not limited to law enforcement agencies, courts and other

regulatory agencies. If the OCS institutes a formal disciplinary action against

you, then your name and the information you supply could become public.

AG: #2393283-v1

Grievance - Minnesota Department Of Labor And Industry - Office Of Combative Sports Form