Minnesota OSHA Citation Contest Form Instructions
This file provides the necessary instructions for contesting a citation issued by the Minnesota Occupational Safety and Health Division. It includes details on how to properly fill out the contest form, important deadlines, and the submission process. Suitable for employers who wish to formally dispute a citation and penalty received.
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How do I fill this out?
Filling out this form requires careful attention to detail. Ensure you have all necessary information from the citation before you begin. Follow the step-by-step instructions provided within this section to successfully contest the citation.

How to fill out the Minnesota OSHA Citation Contest Form Instructions?
1
Read the Citation and Notification of Penalty carefully.
2
Complete the top section of the form with your information.
3
Indicate which parts of the citation you are contesting.
4
Provide reasons for your contest in the designated space.
5
Submit the completed form within the required timeframe.
Who needs the Minnesota OSHA Citation Contest Form Instructions?
1
Employers who have received a citation and wish to contest it.
2
Business owners aiming to challenge the penalties imposed.
3
Employees who are concerned about the legitimacy of a citation.
4
Legal representatives assisting clients with OSHA citations.
5
Industry professionals needing clarification on contesting procedures.
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What are the instructions for submitting this form?
To submit the Notice of Contest form, mail it to the Commissioner of the Department of Labor and Industry at 443 Lafayette Road North, St. Paul, MN 55155-4307. You may also submit it electronically to contestation.dli@state.mn.us or via FAX at (651) 284-5741. Ensure the form is postmarked within 20 calendar days of receiving the citation to be considered valid.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the contest form include the 20th calendar day following receipt of the Citation. This timeline ensures your appeal is considered valid. Keeping track of these dates is crucial for optimal compliance with MNOSHA regulations.

What is the purpose of this form?
The purpose of this form is to allow employers to contest citations issued by MNOSHA. It ensures that employers have a structured way to dispute violations they believe are incorrect or unfairly assessed. This process helps uphold workplace safety while providing employers a fair opportunity to challenge penalties.

Tell me about this form and its components and fields line-by-line.

- 1. Inspection Number: Unique identifier for the inspection related to the citation.
- 2. OSHI ID: Occupational Safety and Health Inspection ID for reference.
- 3. Optional Report No.: Additional report number if available.
- 4. Employer's Name and Mailing Address: Contact information for the employer subject to the citation.
- 5. Citations: Sections of the citation being contested.
- 6. Reasons for Contest: Space provided for employers to explain their rationale.
- 7. Signatory Area: Section for employer representative’s signature.
What happens if I fail to submit this form?
If you fail to submit this form, the citation and penalty will automatically become a final order. This means that you will not have the opportunity to contest or appeal the decision through any court or agency. Missing the deadline can severely impact your rights as an employer.
- Final Order: The citation will be enforced with no changes or disputation allowed.
- Financial Penalties: You may incur financial penalties as assessed by MNOSHA.
- Legal Implications: Failure to contest could impact future legal standing related to safety violations.
How do I know when to use this form?

- 1. Citation Dispute: When an employer disagrees with the findings of an OSHA inspection.
- 2. Penalty Challenge: To formally contest the penalties imposed by MNOSHA.
- 3. Abatement Date Contest: If disputing the required abatement date for citations.
Frequently Asked Questions
How do I contest a citation using this form?
To contest a citation, fill out the form following the instructions provided, indicating which aspects of the citation you dispute.
What happens after I submit my contest?
Upon submission, MNOSHA will schedule an informal conference to discuss the citation.
Is there a deadline to submit this form?
Yes, the form must be submitted within 20 calendar days from the date the employer received the Citation.
Can I submit the form electronically?
Yes, you can file the form electronically at contestation.dli@state.mn.us.
What if I miss the submission deadline?
If the form is not filed on time, the citation becomes a final order.
Can I contest multiple citations with one form?
No, each citation requires a separate contest form.
Do I need to provide reasons for my contest?
Yes, it is important to clearly state your reasons for contesting the citation.
Can I retain a copy of the submitted form?
Yes, ensure to keep a copy of the form for your records.
Who can assist me in filling out this form?
You may seek help from legal counsel or workplace safety professionals.
What if there are errors on the form?
Make necessary corrections before submission to avoid delays.
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