Connecticut Department of Labor, Partner of the American Job Center Network
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If you need to file a wage complaint or report a possible violation of either the Connecticut Family and Medical Leave Act or of the Connecticut Workplace Standard laws, you may now access the necessary forms through our Web site. These forms were previously available only through the mail or by visiting your local Job Center/Connecticut Works Career Center.

Please note that because each of these forms requires your signature, they are not forms that you can fill in on the Web and transmit electronically to our department. To access a form, click on the name of the form you are interested in from the list provided below. Print the form using the print function of your Web browser. Once you have produced a paper copy of the form, please print or type the information requested, sign the form, and return it to the address provided on the form.


If you need assistance in completing any of the forms, please contact the Wage and Workplace Standards Division at (860) 263-6790 or your local Connecticut Works Career Center.

200 Folly Brook Boulevard, Wethersfield, CT 06109 / Phone: 860-263-6000

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