A Wage Claim form is used for unpaid or missing wages, bonus, vacation, mileage, NSF checks, and unauthorized deductions.
DO NOT use this form for wages paid below the current minimum wage or for sick pay.
INSTRUCTIONS FOR FILING A WAGE CLAIM
In order to best serve you, please follow these simple steps when filing your claim.
- The completed Wage Claim can be submitted by: Email: [email protected], Fax: (602) 542-8097, or Mail.
- Ensure all (*) asterisk areas are completed, otherwise the Department will not be able to process and investigate yourclaim.
- Please contact the Department immediately if you move and/or change your address.
- A copy of the Wage Claim and any attachments submitted will be sent to the employer. We are unable to accept anyrequest for confidentiality.
- The amount claimed cannot exceed $5,000.00. If you are owed more than this amount your recourse is to file throughSmall Claims Court or Superior Court.
- Unpaid wages must be filed within one (1) year from the date of accrual or the Department will not be able to investigate your claim.
- If the employer has filed Bankruptcy, the Department will not be able to investigate your claim. Contact the BankruptcyCourt at (602) 682-4001.
- If you are claiming overtime hours you can only file with this department if the employer has a history of paying youovertime wages. If not, contact the Federal Wage & Hour Division at (602) 514-7100.
- You must make an attempt to return any or all property to your former employer.
- Answer all questions on the complaint form completely. Incomplete responses may delay or hinder the processing ofyour claim.
- All complaints must be signed by the claimant and dated before returning to the Department of Labor.
- Submit, with your complaint form, one copy of any documents that are relevant to your complaint and retain one copyfor your records. These items may assist in the investigation process. The Department is not responsible for the lossor damage of originals.
A Wage Claim form is used for unpaid or missing wages, bonus, vacation, mileage, NSF checks, and unauthorized deductions.
DO NOT use this form for wages paid below the current minimum wage or for sick pay.
