Get Fl Wage Recovery Complaint Form - Broward County 2019-2026

Filling out the FL Wage Recovery Complaint Form is an essential step for individuals seeking to recover unpaid wages in Broward County. This guide provides a clear, step-by-step approach to assist users in completing the form accurately and efficiently online.

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

1. Click ‘Get Form’ button to obtain the FL Wage Recovery Complaint Form and open it in the editor.
2. Begin by entering your personal details, including your last name, first name, middle initial, and contact numbers such as home, work, and cell phone.
3. Fill in your home address, including city, state, and zip code, along with your email address.
4. Indicate whether your employer has a contract with Broward County by checking either 'Yes' or 'No'.
5. Specify the type of work you performed, such as construction or childcare, or select 'Unknown' if unsure.
6. Provide the date you were hired and your job title.
7. Indicate whether you have received or will receive IRS Form 1099-MISC or W-2 by checking the appropriate boxes.
8. Enter the name and address of the employer you believe has violated the Wage Recovery Ordinance, including contact numbers and supervisor's name and title.
9. Answer the questions regarding whether you provided written notice to your employer about unpaid wages and include the date of that notice.
10. State your employer's response and whether they are still in business.
11. Confirm that your employer owes you at least $60 in back wages and indicate your current employment status.
12. If employed, provide the date of the next payday after separation and the last date you worked.
13. Indicate your method of pay and how often you are paid.
14. List the date(s) the wage violation occurred and describe the types of back wages owed, checking applicable boxes.
15. Calculate and provide the total amount of unpaid wages and explain how you came to that figure.
16. Indicate if there is any evidence or documentation related to your claim and detail any potential deductions or counterclaims.
17. Provide names and contact information for any witnesses who can support your claim.
18. If represented, include the name and contact information of your attorney or advocate.
19. Sign and date the form, ensuring that you understand the declaration of truthfulness.
20. Return the completed form and any supporting documentation as specified.

Complete your FL Wage Recovery Complaint Form online today to initiate your wage recovery process.