Sec. 71.4. Form and content of petition

The petition shall:

(a) contain a caption in the following form:

STATE OF NEW YORK

INDUSTRIAL BOARD OF APPEALS

 

X

 

:

In the Matter of the Petition of:

 

:

 

(insert name of petitioner)

 

Petitioner,

 

:

To Review under Section 677 of the

 

:

Labor Law an Order to Comply

 

:

with Minimum Wage Order No.

________

 

:

or Regulation.

________

 

:

 

—against—

 

:

The Commissioner of Labor,

 

:

 

Respondent.

 

:

 

X

(b) state the address of the petitioner;

(c) attach a complete copy of the compliance order in issue;

(d) state clearly and concisely the grounds on which the order in issue is alleged to be incorrect, improper, unreasonable or invalid;

(e) state any other material or relevant facts;

(f) set forth with particularity the relief requested; and

(g) be signed by the petitioner or his authorized representative.