Get Ut Wage Claim Assignment Form

The UT Wage Claim Assignment Form is essential for individuals seeking to claim unpaid wages in the state of Utah. This guide provides a comprehensive, step-by-step approach to help users fill out the form correctly and efficiently online, ensuring that all necessary details are included.

Follow the steps to complete the UT Wage Claim Assignment Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Carefully provide your name and date of birth in the designated fields. These details are essential for identifying your claim.
3. Enter your email address and complete your mailing address, including your apartment number, city, state, and zip code.
4. Fill in your telephone number and cell number for contact purposes.
5. Provide the name, address, and telephone number of a nearest relative or contact person who does not live with you. This information will assist in locating you if necessary.
6. Specify the name of your employer's business, their telephone number, type of business, and website (if known).
7. Detail your job title and the type of work you performed for your employer.
8. Fill in the names and positions of the individuals who hired and supervised you.
9. Indicate the address where your work was performed, as well as the start and last dates of your employment.
10. State your rate of pay, selecting from hourly, daily, weekly, monthly, or other, and provide your average work payment schedule.
11. Indicate how often you were paid and the method of payment, selecting from check, cash, or other.
12. Enter the total amount of your claim without deducting taxes or social security. Indicate if you are claiming unpaid wages, severance, unauthorized deduction, or other specified categories.
13. Answer all relevant questions regarding your employment status, including whether the unpaid wages were earned within the last 12 months.
14. List specific dates for unpaid wages and your typical work schedule, detailing hours worked and not compensated.
15. Assure that you attach any necessary documents such as paystubs or policies related to unpaid wages, if applicable.
16. Certify the accuracy of the provided information by signing and dating the form. If an authorized agent is acting on your behalf, ensure they also sign accordingly.
17. Once all sections are complete, save your changes, and you may download, print, or share the form as necessary.

Start filling out the UT Wage Claim Assignment Form online to claim your unpaid wages today.