Please read the following
information carefully before
submitting a complaint form to the
Wage and Workplace Standards
The Wage and Workplace Standards Division
can only investigate alleged violations of labor laws
under its jurisdiction in an employer-employee
We do not cover certain issues such as, but not
limited to, wrongful termination, unemployment related
matters, employment discrimination, business expenses,
and tax issues.
We can only
investigate complaints for wages within two years of the
filing DATE of a complaint with the Division. WE CANNOT ACCEPT ANONYMOUS COMPLAINTS.
For specific laws we do cover, please
refer to our complaint forms and our website.
If you need to file a wage complaint with
our Wage and Workplace Standards Division, you may
access the Statement of Claim for Wages Form through our
Web site. This form was previously available only
through the mail or by visiting your local American Job
Wage Payment Laws
are available on our web site for your convenience.
Please note that because the form
requires your signature, it is not a form that you can
transmit electronically to our department. In order to
use the form, you must print it. However, we now have
two versions of the form available to you: one version
that requires you to produce a paper copy, and print or
type the information requested, and one version that
allows you to complete the form on-line.
Special Instructions When Completing the
On-Line version of the Statement of Claim for Wages
The on-line version of this form was
designed in PDF format to enable you to complete it on
your computer. However, in order for you to view and
print PDF files, it is necessary to have the Adobe
Acrobat Reader software installed on your computer. The
Adobe Acrobat Reader may be downloaded for free from the
Adobe Web Site.
Do not attempt to save your completed
form to your computer unless you have the full version
of the Adobe Acrobat software installed on your
computer. Trying to do so will cause you to lose all the
information you entered.
Regardless of which version of the form
you choose, make sure that once you print it out, that
you sign the form, and return it to the address
provided at the end of the form.
If you need assistance in completing this
form, please contact the Wage and Workplace Standards
Division at (860) 263-6790 or your local
The following is a
list of all Wage and Workplace Standards Wage Complaint
Click here for a complete list
of all Wage and Workplace Standards Division Complaint