Get Utah Labor Commission Wage Claim

This guide provides clear and concise instructions for filling out the Utah Labor Commission Wage Claim online. By following these steps, users can efficiently complete their wage claims and ensure their rights are protected.

Follow the steps to successfully complete your wage claim form.

1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by reviewing the questions at the top of the form regarding wage payment status. Indicate whether all wages have been paid by selecting 'Yes' or 'No.' If you answered 'No,' do not proceed; instead, complete the Wage Claim Assignment Form.
3. Next, indicate if you were paid late by selecting 'Yes' or 'No.' If you select 'Yes,' you will be asked to provide additional information.
4. Fill in your personal information, including your name, date of birth, address, email address, apartment number (if applicable), city, state, zip code, telephone number, and cell number.
5. Provide the contact information for your nearest relative not living with you. Input their name, address, and telephone number, as this information will help locate you if necessary.
6. Next, provide details about your employer, including the business name, telephone number, type of business, and address. If known, include the website address, suite number, city, state, zip code, owner’s name, and owner’s home address.
7. Describe your employment situation. Fill in your job title, type of work performed, who hired you and their position/title, who supervised you and their position/title, and the address where the work was done.
8. Indicate if you were an independent contractor by selecting 'Yes' or 'No.'
9. Complete your employment dates, including the last date of employment and the start date of employment in the format mm/dd/yyyy.
10. Indicate how often you were paid by selecting one of the options: 'Weekly,' 'Bi-Weekly,' 'Semi-Monthly,' or 'Other.'
11. Answer the questions regarding whether you quit or were fired, including the appropriate times if applicable.
12. Continue to the back side of the form (as noted in previous instructions) to complete the payment details. Fill out the chart provided with the gross amount paid late for each pay period. Include the date due and the date paid, and if necessary, attach another sheet for additional information.
13. Certify the statement regarding the accuracy of the wages due by signing and dating the form.
14. If an authorized agent is filing on your behalf, ensure both you and the agent complete the necessary signatures and provide the agent's name.
15. Once all sections are filled out, save any changes, and choose to download, print, or share the completed form as needed.

Complete your Utah Labor Commission Wage Claim form online today!