Minimum wage complaints shall be filed within one (1) year from the date the wages were due. The complaint form must indicate current wage rate; pay periods worked and the amount of underpaid wage per pay period. Complaint forms must be signed by the claimant and dated; be sure to indicate whether you consent to disclosing your name to your employer.
Supporting documents cannot be attached to the complaint form if submitted through the online system. After submitting the form online a department representative will contact you within five business days with your claim number and instructions on how to submit documents relevant to your claim.
IMPORTANT: This form must be completed in its entirety. Failure to do so may cause a delay in processing. If you have any questions as to which claim form to file please contact the Labor Department at 602-542-4515.