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Example: I have been asked to work without taking lunch breaks.

Mailing Address

Search for your hospital or healthcare facility, if not found click on "Add Facility" to manually add your facility*

Business Contact

Provide as much information as possible. The more information we have, the faster we can investigate your complaint.

Start Date

End Date

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Explain what your work schedule looks like... Example: 9AM - 5PM, MTWThF
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Supporting Documents

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