Get Az Unpaid Wage Claim Form 2022-2025

Filing an unpaid wage claim can be a vital step in recovering owed wages. This guide provides a clear, step-by-step approach to completing the AZ Unpaid Wage Claim Form online, ensuring users can navigate each section with confidence.

Follow the steps to successfully complete your claim form.

1. Press the ‘Get Form’ button to access the claim form and open it in your chosen digital application.
2. Begin filling out the claimant information section. Provide your last name, first name, middle initial, city, address (including apartment number), email address, state, zip code, cell phone number, telephone number, preferred method of communication, and date of birth.
3. Next, complete the employer information section by entering the employer's name as it appears on your pay stub or tax form. Include the employer's telephone number, city, address (including suite number), owner's name, type of business, state, zip code, and mailing or email address for the owner.
4. Proceed to the job information section. Specify your job title, type of work performed, who hired you, their title or position, who supervised you, their title or position, the address where work was done (if different), your start date, last date of employment, your rate of pay, frequency of pay, and how you received your wages.
5. Complete the general job information questions, indicating if your job was contracted in Arizona, whether you quit or were discharged, if you owe money to the employer, if you have employer property, if the employer is still in business, if they filed bankruptcy, your employment status (employee or independent contractor), and whether the employer withheld taxes or used time cards.
6. If applicable, fill out the unpaid wage details on the second page of the claim form, entering the amounts owed from unpaid work, along with the dates and calculations for hours worked, commissions, vacation/PTO, and any unauthorized deductions.
7. Review all sections to ensure accuracy and completeness, noting that submitting an incomplete form may delay your claim.
8. Certify your statement by signing and dating the form. Indicate whether you have supporting documents, and prepare to submit those by U.S. mail, fax, or email.
9. Finally, save your changes and download or print the completed form for your records before submission.

Complete your AZ Unpaid Wage Claim Form online today and take the first step towards obtaining your unpaid wages.