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Form notary wsd template 2026

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The document is an instruction sheet for filing a complaint regarding unlawful lie detector tests under Chapter 378 of Hawaii's Employment Practices. It outlines the process for submitting the WSD-1.378II Complaint Form, including required information about the complainant and employer, details of the alleged violation, and verification requirements. The document emphasizes the importance of timely submission within 30 days and provides contact information for assistance.

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Click ‘Get Form’ to open the WSD-1.378 II Complaint Form in the editor.
Begin by filling out your personal information in Items 1 through 9. Ensure you provide your name, address, phone number, and employment status clearly.
In Items 10 through 14, enter the employer's details including business name, address, and contact information.
For Items 15 through 17, describe the alleged violation. Be specific about dates and whether you agreed to take a lie detector test.
On Page 2, Item 18 requires a statement of facts regarding the violation. Provide a concise summary of events that support your complaint.
Finally, ensure you sign the form in front of an authorized representative or notary public as indicated in the verification section.

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2013	4.8 Satisfied (103 Votes)

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