Complaint Forms

Wage Complaint

The Division of Labor will assist in the recovery of earned compensation. If you wish to file a wage complaint with the Division, you must fully complete and submit to the Division a “Request for Mediation” form. The form includes instructions on the complaint process and the authority of the Division of Labor.

          Request for Mediation (printable)
          Request for Mediation (submit online)

If your employer owes you wages or compensation, you may also wish to complete an optional form(s) entitled “Demand for Payment of Wages,” or “Notice of Dishonored Instrument.” These forms must be sent directly to your (ex) employer, and are provided as an administrative courtesy.

          Demand for Payment of Wages
          Notice of Dishonored Instrument

Immigration Complaint

The Division of Labor will investigate employers who are not complying with the Employment Verification Law and contractors and subcontractors not complying with the Illegal Aliens and Public Contracts Law. If you wish to make a complaint you must fully complete the form(s) below and submit to the Division.

          Employment Verification Law Complaint Form
          Public Contracts for Services and Illegal Aliens Law Complaint Form