Criminal Justice Act, 2011 Appeal/complaint Form printable pdf download

Criminal Justice Act, 2011 Appeal/complaint Form

THE LABOUR COURT

CRIMINAL JUSTICE ACT, 2011

APPEAL/COMPLAINT FORM

Please indicate, by ticking (1) or (2), whether you are:

Appealing against a Rights Commissioner’s Decision (Section

(1) [ ]

20(2)- see note overleaf).

Making a complaint that a Rights Commissioner’s Decision has

(2) [ ]

not been implemented (Section 20(3) - see note overleaf)

Rights Commissioner Decision details:-

Decision Reference Number:

Date of Decision:

Employee Details:

Employer* Details

Name:

Name*:

Address:

Phone Number:

Phone Number

*As per payslip or P.45 or P.60

Employee Representative Details (if any)

Employer Representative Details (if any)

Name:

Address:

Phone Number:

Brief summary of grounds on which Appeal/Complaint is being made:

Signed: ________________________________Employee/Employer (delete as appropriate)

Date: ______________________________

and copy of Rights Commissioner’s Decision

Please send this form

to the Labour Court

at the address overleaf.

Criminal Justice Act, 2011 Appeal/complaint Form