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- Click ‘Get Form’ to open the oshab appeal form 100 in the editor.
- Begin with Section A: Citation Information. Fill in your Case (Inspection) #, Issuance date, Employer name, Reporting ID#, and Date Citation Received. Ensure all details match your citation for accuracy.
- Continue by providing your Employer contact information including address, primary and secondary phone numbers, and email address. Select your preferred method of service—either U.S. Postal Service or Email.
- If applicable, complete Section B: Representative Information with details about your representative's firm name, contact information, and preferred method of service.
- In Section C: Contact Information and Signature, indicate whether you are the employer or representative. Sign and date the form to confirm your understanding of responsibilities.
- Finally, move to Section D: Appeal Information. Specify what you are appealing and check any relevant grounds for appeal. Provide any affirmative defenses if applicable.
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