New & Improved Wage Claim Form
Beginning July 6, 2012, the Labor Commissioner is pleased to begin using a new and improved wage claim form (Form 1, “Initial Report or Claim”) to aid workers seeking to recover unpaid wages and other compensation. In addition to the claim form, two new information sheets are available to assist claimants with filing wage claims. The “Instructions for Filing a Wage Claim” explain which documents and forms should be submitted by claimants in order to file a wage claim. If claimants need some assistance in filling out the claim form, the “Guide to Completing Initial Report or Claim Form” provides some basic information about each question on the Form 1.
The new Form 1 and information sheets are available in English, Spanish, Chinese, Korean, Tagalog, Vietnamese and Punjabi and may be accessed through this link: http://www.dir.ca.gov/dlse/HowToFileWageClaim.htm
Labor Commissioner's Office