CDLE Online Wage Claim Form

 

BILL RITTER, JR.

Governor

 

DONALD J. MARES

Executive Director

 

MICHAEL J. McARDLE

Director of Labor

 

DEPARTMENT OF LABOR AND EMPLOYMENT

THE DIVISION OF LABOR

 

Main: 633 17th St. Suite 200 Denver, Colorado 80202-3660

Telephone (303) 318-8441 Toll Free 1-888-390-7936 Fax (303) 318-8400

Colorado Springs: 1259 Lake Plaza Drive, Suite 120, Colorado Springs, Colorado 80906

Telephone (719) 576-0447 Fax (719) 576-0451

http://www.coworkforce.com/lab/


PLEASE READ THIS DOCUMENT BEFORE FILLING OUT ANY FORM

WELCOME

The Division of Labor assists in the recovery of earned wages and compensation. We do not have the legal authority to compel or order the payment of wages. The Division will attempt to resolve the dispute through fact-finding and mediation between you and your (ex) employer. If the mediation efforts are unsuccessful you will be notified and provided with information on other options available to you under state law.

COMPLETE a Request for Mediation Form if you need assistance regarding:

 Non-payment of wages for work performed

Non-payment of overtime

Non-payment of vacation earned in accordance with an employer’s policy

Minimum wage violations

Unauthorized deductions from paycheck

 Tips or gratuities

Uniform policies

Delayed or missing paydays

Timekeeping or pay irregularities

 Dishonored (bounced) paycheck

The Division does not have authority over the following:

Pay disputes involving independent contractors (if unsure of employee or contractor status, contact the Division)

 Government or school district employees 

 Work performed exclusively outside the State of Colorado

Pay disputes where the employer has filed for bankruptcy or was seized by a creditor

Health or life insurance plans or coverage

Pension or savings disputes

 Tax matters

 Interview, selection, promotion, or termination disputes

Performance evaluations

 Allegations of harassment or abusive treatment

 Complaints of discrimination or unequal treatment

Expense reimbursements

Dress codes, smoking, drug, or alcohol policies

Recovery of bounced check fees of charges

 Access to personnel or medical records

PROVIDING FALSE INFORMATION TO THE DIVISION OF LABOR IS A FELONY AND COULD RESULT IN THE DIVISION PRESSING CRIMINAL CHARGES AGAINST YOU.

THE MEDIATION PROCESS

When we receive your Request for Mediation Form a case number and Compliance Officer are assigned.  The mediation is primarily handled over the telephone and through written correspondence. If you wish to meet with your Compliance Officer, you must call to schedule an appointment. You may provide additional information to the Division at any time during the process. Information should be mailed or delivered to our offices with your name and employer’s name on each page.

There is no specific timeframe for mediating your dispute. Please have patience throughout the process to allow the Compliance Officer time to work on your claim. There is no guarantee that your mediation will result in payment. If the mediation is not successful, we will provide you with information regarding other options available to you. You may wish to pursue the dispute in court, where a judge may assess penalties for non-payment of wages.

Colorado Revised Statutes DO NOT require nor prohibit the following:

Severance pay

Sick pay

Paid holidays, vacation, or other fringe benefits

Advance notice or reason for layoff, termination, or suspension

Advance notice to resign or to provide a “two week notice”

Advance notice of work or duty schedule

Mandatory overtime

Release of information regarding reasons for selection or non-selection for employment

Drug or alcohol testing

Access to personnel records

Character references, recommendations, or release of employment information to other employers

Polygraph examinations as a condition of employment or continued employment (federal law may apply)

Pay raises, promotions, or bonuses

Premium pay for weekend, holiday, or night work

Involuntary weekend, holiday, or night work

The information you provide to the Colorado Division of Labor will become a part of the official file. Any person providing false information to the Division of Labor in order to obtain and/or retain anything of value may be subject to criminal prosecution under the laws of the State of Colorado with possible penalties ranging from six months to thirty-two years imprisonment and/or fines up to $750,000. See 18-2-101, 18-4-401, 18-5-114, 18-8-306, and 8-1-144 C.R.S.

THE COLORADO DIVISION OF LABOR MAY NOT GIVE LEGAL ADVICE. PERSONS INQUIRING SHOULD SEEK LEGAL COUNSEL.

By clicking on the 'I Agree' button, I hereby certify that this is a true statement of monies due to me and authorize the Division of Labor to investigate the dispute.