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Occupational Safety & Health Appeals Board (OSHAB)

Cal/OSHA appeal form

The Cal/OSHA appeal form (acordot image ) revised May 2008 is now available for downloading in Adobe Acrobat 5.0 format and can be filled out and printed from your computer.

The appeal form and instructions are in Adobe Acrobat 5.0 format and will not work with previous versions of Acrobat. The current version of Acrobat is available free from Adobe's web site at www.adobe.com. Download instructions are also available on the Adobe web site.

Adobe Acrobat 5.0 reader does not support saving your filled-out appeal form for later reference. You may not submit the appeal form electronically.

If you want a blank appeal form, simply download and print the form without completing it.

Known printing problems