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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)
  • Public Works Payroll Reporting Form (A-1-131) (Rev. 02/1980)

Instructions for Completing the “Public Works – Initial Report” form (PW-1) acrobat small logo

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.