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View PO Box 64226 St. Paul, MN 55164-0226 (651) 284-5200 Fax: (651) 284-5731 I hereby authorize to review and/or receive copies of any or all parts of the Minnesota workers compensation claim file(s) maintained by the Department of Labor and Industry (DLI) for the employee and date(s) of injury indicated below. EMPLOYEE WID or SSN EMPLOYER DATE(S) OF INJURY INSURER (if known) Following receipt of this properly completed authorization.

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The agency oversees the state's programs for apprenticeship, construction codes and licensing, dual-training pipeline, occupational safety and health, wage and hour standards, workers' compensation and youth skills training programs.

The Department of Labor (DOL) administers federal labor laws to guarantee workers' rights to fair, safe, and healthy working conditions, including minimum hourly wage and overtime pay, protection against employment discrimination, and unemployment insurance.

Generally speaking, most workplace injuries do not allow an injured worker to file a lawsuit to seek compensation for his or her injuries. Instead, that worker is protected by the Minnesota Workers' Compensation Law and can file a claim for benefits.

File a complaint For more information, contact Minnesota OSHA (MNOSHA) Compliance at osha.compliance@state.mn.us, 651-284-5050 or 877-470-6742.

The agency oversees the state's programs for apprenticeship, construction codes and licensing, dual-training pipeline, occupational safety and health, wage and hour standards, workers' compensation and youth skills training programs.

💬 Live support: 8 a.m. - 4:30 p.m. (Mon-Fri) 📞 Call: 651-284-5005 (press 3) or 800-342-5354 (press 3) 📧 Email: helpdesk.dli@state.mn.us.

181.13 PENALTY FOR FAILURE TO PAY WAGES PROMPTLY. (a) When any employer employing labor within this state discharges an employee, the wages or commissions actually earned and unpaid at the time of the discharge are immediately due and payable upon demand of the employee.

A complaint needs to be filed with MNOSHA Compliance within 30 days of the adverse employment action. For more information, contact MNOSHA Compliance, Discrimination, at discrimination.dli@state.mn.us, 651-284-5051 or 877-470-6742.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232