(a) the name, address and telephone number of the person submitting the petition;

(b) the address and location of the place or places of employment affected by the petition;

(c) the date the notice of violation was issued and the particular order(s) for which the abatement period is contested;

(d) a statement of the reason(s) why the abatement period prescribed is unreasonable;

(e) a statement that a copy was delivered to the employer, advising the employer of the filing and that the employer has 10 working days to respond to the commissioner at the address where such petition was filed; and

(f) the signature and title of the person submitting the petition.