Filing A Wage Complaint - Instructions
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 Job Center/CTWorks
Career Center. The
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 Form:
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.
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
Connecticut Works Career Center.