COLORADO DIVISION OF EMPLOYMENT AND TRAINING - MONTHLY Employment Service and Employment-Related Law/Apparent Violation Complaint System Log ES OFFICE #: PROGRAM YEAR: MONTHLY ENDING: OFFICE NAME ES RELATED REFER TO PENDING RESOLVED STATE – USE COMPLAINANT RESPONDENT NO. DATE MSFW NON-ES RA ESA FILED LAW OSHA CAN BE LEFT BLANK IF TO STATE STATE LEVEL LEVEL LEVEL OTHER LOCAL LOCAL – – AGENCY AGENCY AGENCY THIS IS AN APPARENT – – HEARING ELEVATE RESPOND VIOLATION VIOLATION EMPLOYER TO TO REGULATION STATE LOCAL APPEAL ES HEARING PROCESS REQUEST AGAINST FAIL FAIL PROCESS REQUEST EMPLOYMENT AGAINST IN IN APPARENT INFO INFO ENFORCEMENT ENFORCEMENT 01 02 03 04 05
COLORADO DIVISION OF EMPLOYMENT AND TRAINING - MONTHLY Employment Service and Employment-Related Law/Apparent Violation Complaint System Log ES OFFICE #: PROGRAM YEAR: MONTHLY ENDING: OFFICE NAME – ES RELATED REFER TO PENDING RESOLVED STATE USE NO. COMPLAINANT CAN BE LEFT BLANK IF THIS IS AN APPARENT VIOLATION RESPONDENT DATE FILED APPARENT VIOLATION MSFW NON-ES AGAINST AGENCY AGAINST EMPLOYER ES REGULATION EMPLOYMENT LAW ESA OSHA OTHER IN PROCESS – LOCAL INFO REQUEST – LOCAL IN PROCESS – STATE INFO REQUEST – STATE HEARING ENFORCEMENT AGENCY LOCAL LEVEL STATE LEVEL HEARING LEVEL ENFORCEMENT AGENCY FAIL TO ELEVATE FAIL TO RESPOND APPEAL TO RA 01 02 03 04 05