Follow the steps to successfully complete the form.

1. Click the ‘Get Form’ button to access the CA Earned Sick Leave And Minimum Wage Complaint Declaration Form online.
2. In Part 1, provide your employee information. This includes your name, date, email, phone number, and mailing address. Ensure this information is accurate, as it will expedite the review process. Remember, your information will be kept confidential.
3. In Part 2, fill out the employer information. Input the business name, business address, the address where you worked, the manager or owner's name, their email, and phone number. It is important to provide correct details to associate your complaint with the right employer.
4. In Part 3, confirm if you work at least two hours within the City of San Diego limits by selecting 'Yes' or 'No.' Then, indicate the claim period by entering the start and end dates.
5. Select the type of complaint by checking all that apply. This can include issues related to paid sick leave or the employer failing to post required notices regarding minimum wage or sick leave accrual.
6. Provide your hourly wage and the number of paid sick days received. Additionally, specify how you are paid (check, cash, etc.). This information helps clarify your complaint.
7. In the section titled 'Other Information to Support Claim,' attach any relevant documentation to support your claims, including written communications from the employer, timekeeping records, pay stubs, or sick time policy.
8. Sign and date the form to affirm that the statements you provided are true and correct to the best of your knowledge.
9. Finally, submit the completed form to the City of San Diego, Minimum Wage Enforcement Office via email, fax, or mail, as specified.

Take action now by completing your complaint form online.