DLSE forms - Public Works

The forms on this server are replicas of the official DLSE forms.  You will need Adobe Acrobat Reader to view or print the forms.  To obtain a form by mail, contact your local DLSE office.


  • Public Works – Public Complaint
    • English - (acrobat small logoPdf)
  • Public Works – Worker Complaint
    • English (acrobat small logoPdf) (DLSE-PW-Form 1) (Rev. 9/2012)
    • Spanish (acrobat small logoPdf) (DLSE-PW-Form 1 Spanish) (Rev.9/2012)

Instructions for Completing the "Public Works – Initial Report" form (PW-1)

Public Works Payroll Reporting Form - This form or the elements contained in this form will be required to be provided if the Labor Commissioner conducts an investigation. This form will not be used to satisfy the eCPR initial reporting requirement.


Note: If your printer has a problem printing the form, try the "Fit to page" box in the Acrobat Adobe Reader's print function.

Note: Additional forms and publications may be added in the future.



August 2016