Get Fl Wage Recovery Complaint Form - Broward County 2015

Filing a wage recovery complaint is an important step for anyone who has not received the proper wages for work performed in Broward County. This guide will provide you with a clear, step-by-step process for completing the FL Wage Recovery Complaint Form online, ensuring you have the necessary information to support your claim.

Follow the steps to fill out the FL Wage Recovery Complaint Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering your personal details. Fill in your last name, first name, middle initial, home phone number, work phone number, cell phone number, and address including the apartment or unit number, city, state, and zip code.
3. Provide your email address for communication regarding your complaint.
4. Indicate whether your employer has a contract with Broward County by selecting 'Yes' or 'No'.
5. Describe the type of work you performed, and enter the date you were hired.
6. State your job title and confirm if you have received or will be receiving an IRS Form 1099-MISC and/or an IRS Form W-2 by selecting 'Yes' or 'No' for each option.
7. Fill out the information regarding your employer, including their name, address, and telephone number. Include the supervisor's name and title, and indicate any relevant suite, state, and fax number.
8. Answer the questions about prior written notice to your employer regarding unpaid wages. If you provided written notice, attach a true copy to your complaint.
9. Detail your employer's response to your notice and confirm whether they are still in business by selecting 'Yes', 'No', or 'Unknown'.
10. Choose whether your employer owes you at least sixty dollars ($60.00) or more in back wages, and indicate your current employment status.
11. For those no longer employed, provide the date of the next payday after your separation and the last date you worked for this employer.
12. Describe how your time is recorded (e.g., time card, time sheet) and your method of pay.
13. Indicate how often you are paid and specify the dates when the wage violation occurred.
14. Select all applicable reasons for owed back wages from the provided options.
15. Calculate the total amount of unpaid wages owed to you and explain how you arrived at that figure.
16. Identify any evidence or documents that support your wage claim, and specify their locations if known.
17. Provide names and contact information of any witnesses who can attest to your wage claim.
18. If applicable, indicate if you are represented by an attorney or advocate and provide their details.
19. Declare that you have completed the form in good faith and that all answers are true to the best of your knowledge. Sign and date the form.
20. Submit your completed form along with all necessary supporting documentation to the Office of Intergovernmental Affairs and Professional Standards.

Take the first step towards recovering your unpaid wages by completing the FL Wage Recovery Complaint Form online today.