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Wage and Hour Division complaint form for workers to report violations of federal wage laws, including minimum wage, overtime, FMLA, and other wage and hour violations.
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Wage and Hour Division complaint form for workers to report violations of federal wage laws, including minimum wage, overtime, FMLA, and other wage and hour violations.
Plain English
Use this form to report your employer if they are not paying you correctly — such as not paying minimum wage, not paying overtime, or violating FMLA.
Submission Date
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Complainant
3 items
Your full name (can be kept confidential by WHD).
Your mailing address.
Phone number for WHD to contact you.
Employer
2 items
The company or individual you are filing a complaint against.
Employer's address.
Violation
3 items
Minimum wage, overtime, FMLA, child labor, or other violation.
Describe what happened, when it started, and any relevant details.
Your estimate of unpaid wages (if applicable).
Signature
1 items
Sign the complaint form.
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Use this form to report your employer if they are not paying you correctly — such as not paying minimum wage, not paying overtime, or violating FMLA.
Workers (or persons filing on a worker's behalf) who believe their employer has violated federal wage and hour laws.
An official complaint to DOL's Wage and Hour Division requesting an investigation into possible wage law violations.
File as soon as possible. Most FLSA violations have a 2-year statute of limitations (3 years for willful violations).
Submit to your local Wage and Hour Division office, online at dol.gov, or by phone at 1-866-487-9243.
Provide as much detail as possible about your employer, the work performed, hours worked, and wages paid. Complaints can be confidential.
The Wage and Hour Division investigates violations and can recover back wages, liquidated damages, and civil monetary penalties on behalf of workers.
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