Get Labor Complaint Form

Filling out the Labor Complaint Form online can be a straightforward process when approached with the right guidance. This comprehensive guide aims to assist users in completing the form accurately, ensuring all necessary information is provided for effective processing.

Follow the steps to successfully complete the Labor Complaint Form online.

1. Click ‘Get Form’ button to obtain the Labor Complaint Form and open it in your editor.
2. In the Claimant Information section, enter your full name, including last name, first name, and middle initial.
3. Provide your address by filling in the street address or box number, city, county, state, and zip code.
4. Enter your phone number, ensuring to include area code, and input your Social Security Number.
5. Fill in the date of employment (when you were hired) and the date of separation (when you last worked). Select if you were discharged, quit, or are still working.
6. In the Employer Information section, input the full legal name of your employer along with the contact person's name and title.
7. Enter the employer's address details—the street address, city, county, state, and zip code—along with the phone number of the contact person.
8. Specify the type of business your employer operates and the number of employees at that location.
9. Provide your occupation and rate of pay, detailing any deductions being taken from your wages.
10. Indicate the pay period (weekly, bi-weekly, monthly, or other) and enter specifics about paydays and the time and place of payment.
11. State where your work was performed and check the basis of your claim (wages, vacation, commission, etc.).
12. Input the total hours of unpaid work, the corresponding dates, and whether you have an advance/set off.
13. Indicate if you requested your wages from your employer and include essential details like the date and person from whom you requested.
14. Mark whether you received written notification of employment terms and ensure to sign and date the complaint.
15. Once fully completed, save your changes, and consider downloading, printing, or sharing the form as needed.

Take the next step by filling out your Labor Complaint Form online today.