nys department of labor complaint form

If you are unable to submit electronically, or print this form, please call the toll-free number at 1-800-804-5447 and someone will assist you. unemployed need not apply, criminal record inquiries, etc. Call 888-4-NYSDOL (888-469-7365) Depending upon the type of complaint, you may need to provide certain documents such as W-2, paystubs, and/or any other supporting documents verifying the complaint. To file a complaint, visit: labor.ny.gov. instructions how to enable JavaScript. Frequently Asked Questions about Wages and Hours. Employee Benefits Security Administration. Division of Labor Standards Harriman State Office Campus Building 12, Room 266B Albany, NY 12240 www.labor.ny.gov Taken by Labor Standards Farm Workers’ Complaint Form Farm workers should use this form to claim unpaid wages, illegal deductions, wage supplements, minimum wage, overtime, no meal period, no day of rest, etc. You can initiate a New York Department of Labor unpaid wages claim by filing the state’s six-page LS 223 form. Clearly print or type your answers to each question. Step 2: Complete the "Complaint of Discrimination in Employment Under Federal Government Contracts" form and submit it by: filing the complaint form electronically with the appropriate OFCCP Regional Office; or; mailing or faxing the complaint form to the appropriate OFCCP Regional Office; or; filing the complaint form in person with any OFCCP District or Area office. complaint form. ), Physician Assistant or Specialist Assistant licensed to practice medicine by the State of New York, please complete this form and mail the original to: NYS Department of Health Office of Professional Medical Conduct â¦ This form can also be used by non-employees who experience discrimination while working at an employerâs worksite. Professional Discipline Complaint Form ( 29 KB). (212) 416-8700 • fax (212) 416-8694 office of the attorney general letitia james state of new york department of law . Labor Laws Regarding Fringe Benefit Payments: Section 198c of the New York State Labor Law, Benefits or Wage Supplements Notice Requirements for Fringe Benefits and Hours. Empleado Queja (PW-4S) - para ser utilizado por un trabajador a presentar un reclamo que él/ella fue mal pagados los salarios vigentes o suplementos en un proyecto de obra pública. Important Notice to NYS Employers: The Department of Labor issued a directive to remind employers of their obligation to provide information to employees to help them promptly complete the unemployment insurance benefits application. Employee Complaint (PW-4) - to be used by a worker to file a claim that he/she was underpaid prevailing wages or supplements on a public work project. All work in excess of 8 hours in a day or 5 days in a week must be paid at the applicable overtime rate. JavaScript is currently disabled in your web browser. If you would like the Department to contact you will need to fill out the Complaint Form. Programs & Tools for Workforce Professionals, Licenses, Permits, Certifications and Registrations, Section 198c of the New York State Labor Law, Benefits or Wage Supplements, Notice Requirements for Fringe Benefits and Hours, U.S. 329.. The "Request for Wage and Supplement Information (PW-39)" form may be submitted by fax or by mail to request a Prevailing Wage Schedule. Attention: Office of Consumer Services New York State Department of Public Service. New York State Freedom of Information Law (FOIL) requests must be submitted using the New York State Freedom of Information Law Request form. Printable Complaint Form. Thanks for the feedback! instructions for wage claim & minimum wage complaint form WAGECLAIM: For unpaid wages, vacation pay, bonus,commissions or if you believe your employer has made illegal deductions from your pay, proceed to complete both theGeneral Information ANDSectionof 1 this form only.You maysubmit the form â¦ The poster includes the telephone number and address for the Department of Labor and a statement informing laborers, workers or mechanics of their right to contact the Department of Labor if he/she is not receiving the proper prevailing rate of wages and/or supplements for his/her particular job classification. Before filing a complaint with the New York State Department of Labor, make sure the situation is an accepted cause of action and that you understand the relevant laws. The U.S. Department of Labor's Wage and Hour Division (WHD) is responsible for administering and enforcing some of the nation's most important worker protection laws. Fax the Complaint form: 518-408-1157; Scan the form and E-mail to: nhintake@health.state.ny.us; Complaints will be accepted if the occurrence is within the past year of the submission of your complaint to the NYS Department of Health. Thanks for the feedback! Complaint Form - New York State Department of Health. The New York State Office of the State Comptroller's website is provided in English. 1 New York State Division of Human Rights Complaint Form â¢ Age (if you are at least 18 years of age) â¢ Arrest Record (that was resolved in your favor or adjourned in contemplation of dismissal or youthful offender record or sealed conviction record) â¢ Conviction Record â¢ Creed / Religion (religious belief, practice, or observance) â¢ Disability (a physical or mental condition) If you are filling out the form on a computer, please print … To file a complaint with DOCCS Office of Special Investigations (OSI), please complete the below form. Consumers with hearing or speech impairment can contact the Department of Public Service through the NYS Relay Service by dialing 711. For information on how to obtain an Order from the Department of Health, see the Obtaining an Order for Quarantine fact sheet. 28 liberty street, 15. th . The Department of Labor does not accept anonymous complaints; you must identify yourself in order to lodge a complaint. Quarantine leave is available retroactively. You or your establishment may print this form and mail it to the OPD office closest to where the incident took place or fax it to: 212-951-6420. COMPLAINT FORM FOR FREELANCE WORKERS. See Employer Registration for Use of 4-Day/10-Hour Work Schedule). Email: Labor.Bureau@ag.ny.gov; Fax: 212-416-8694 No contractor is allowed to work employees more than 8 hours in a day or 5 days in a week, except for the protection of the life and limb of the public, or where the work is deemed of an important nature and delay would be of disadvantage to the public. Every employer in New York State is required to provide employees with sexual harassment prevention training. Discrimination: Union Matters. An employer that does not use the model training developed by the Department of Labor and Division of Human Rights must ensure that the training that they use meets or exceeds the following minimum standards. This Page... The Department is the staff arm of the Public Service Commission. The form must first be signed by the contracting agency. Federal Building, Room 575 Boston, MA 02203 (Note: There are very few exceptions to this rule. Equal Employment Opportunity Commission. Important: Please review the guidance from Empire State Development and the ReOpen NY Website before submitting a complaint.File a Complaint, COVID-19 Paid Sick Leave Fact Sheet - Information for Employees:English | Bengali | Chinese | Haitian-Creole | Korean | Nepali | Polish | Russian, COVID-19 Paid Sick Leave Fact Sheet - Information for Employers:English | Bengali | Chinese | Haitian-Creole | Korean | Nepali | Polish | Russian, Paid Family Leave or Disability Benefits related to COVID-19, Paid Sick Leave for COVID-19 Impacted New Yorkers, Other Leaves of Absence for Health Conditions: Family and Medical Leave Act (FMLA), Families First Coronavirus Response Act: Employee Paid Leave Rights. Use this complaint form if you are an employee filing a complaint against your employer, or if you are an intern or a volunteer filing against an employer. To fill out the New York State COVID-19 ‘New York on PAUSE’ Enforcement Task Force Violation Complaint Form, visit: coronavirus.health.ny.gov. Visit the New York State Department of Labor's website at labor.ny.gov OR. If you work for a business that is not currently permitted to operate in New York State, you may not be forced to go to the worksite. Information and guidance from the NYS Department of Health about cleaning, disinfecting, and more. floor, new york, ny 10005 • tel. Complaints and Appeals. Minimum Wage Law Complaints. You can initiate a New York Department of Labor unpaid wages claim by filing the stateâs six-page LS 223 form. The Department of Labor processes the following types of employment related complaints. All other forms require original signatures and must be submitted by mail or in person. Use our online Consumer Complaint Portal to file a complaint with DFS about insurance companies, vacant properties, student loans, mortgages, bail, banking, lending, and other financial services. See more information under Resources below. New York State Labor Law requires all employers to adopt a sexual harassment prevention policy that includes a complaint form for employees to report alleged incidents of sexual harassment. This form must be mailed or faxed to Bureau of Public Work's Central Office. If you have a complaint against a NYS Department of Labor program or a service provided by a New York State Career Center, you have two choices. labor bureau. Download the complaint form. If you cannot complete the form online or need additional assistance with where to direct your complaint, please call our OAG Help Line at (800) 771-7755. If you wish to file a Wage Complaint with the Division, you must fully complete and submit to the Division a Wage Complaint form. Health Details: INSTRUCTIONS FOR COMPLETING COMPLAINT FORM To file a complaint about a physician (M.D. Managed LongâTerm Care; External Appeals; Managed Care Bill of Rights; Contact Your Plan. Minimum Wage Law Complaints. Consumer Complaint. Filing a false complaint is punishable as a Class A Misdemeanor. Employers otherwise required to provide paid sick leave may not make you use existing sick leave or other leave accruals, in lieu of providing COVID leave benefits. You can visit any of the offices for the Department of Labor and submit a complaint in person. Completed forms may be emailed, faxed, or mailed to the below addresses. All businesses must follow appropriate safety and health guidance. Combat Harassment Complaint Form.Docx . Fill out the complaint form, answering all of the questions and sign the form.If possible, type the form. JavaScript is currently disabled in your web browser. Step 2: Complete the "Complaint of Discrimination in Employment Under Federal Government Contracts" form and submit it by: filing the complaint form electronically with the appropriate OFCCP Regional Office; or; mailing or faxing the complaint form to the appropriate OFCCP Regional Office; or; filing the complaint form in person with any OFCCP District or Area office. Continuation of Health Insurance:For coverage issues associated with an employer with 20 or more employees, contact the U.S. Your employer may not threaten or retaliate against you for complaining that the business should not be operating or has failed to take adequate safety and health measures. Your employer must take various safety and health precautions if you are returning to the worksite, including providing you with a face covering, ensuring that social distancing is being followed, making hand washing and sanitizing stations available, and making sure that cleaning and disinfection are occurring frequently. COVID-19 Employment Issues .. The below form is for complaints to the OSI. If you are filling out the form by hand, please print. Was Helpful If you wish to submit your complaint form via U.S. mail, please complete, print and sign the Printable Complaint Form and submit it to: New York State Department of State Division of Consumer Protection Consumer Assistance Unit 99 Washington Avenue Albany, New York 12231-0001 Complaint Form Translations: NYSDOL has incredible resources to help you find a job, research careers, and learn about special programs for jobseekers U.S. For each job classification, the individual wage schedule must contain the specific details regarding their 4/10-hour day posting. Fax to 518-472-8502; Mail your complaint to one of our office locations listed below. The state asks that people review guidance on the recent executive orders before filing a complaint. Request for Prevailing Wage Schedule - The PW-39 is to be used by contracting agencies and their architects to request an original wage schedule to be included in the project specifications as required by law. New York State Division of Human Rights Complaint Form ... New York State Department of Labor (518) 457-9000 (888) 4-NYSDOL / (888-469-7365) TTY/TDD (800) 662-1220 www.labor.ny.gov When you have finished answering these questions, please turn to Page 8. Your employer should make operational adjustments such as creating policies which encourage employees to work from home when feasible and staggering shifts to reduce workplace density. If a question does not apply to â¦ Employer Registration for Use of 4-Day/10-Hour Work Schedule (PW30.1) - to be completed when using a 4-day/10-hour work schedule. You can also check the status of a complaint, or add information, such as Letter of Authorization (PDF), to an existing complaint. Needs Improvement. Selected Labor Laws - Complaint Form - Use this form if you are an employee working in New Jersey or you are working for a New Jersey based company and you have a complaint about an employment issue enforced by Wage & Hour (e.g. 1) Please fill out the complaint form, answering all of the questions. underlying health conditions or over 70), Your employer has failed to pay you wages owed for hours worked, earned sick pay or paid time off, Your employer has threatened or fired you for reasons related to COVID-19, You qualify for COVID-19 paid sick leave and your employer refuses to pay it, Your employer is forcing you to work when you are sick. Payroll Certification (PW-18.1) - a form for certifying payrolls when a standard state or federal certified payroll form is not used. Pension/Retirement. Employee Benefits Security Administration. instructions how to enable JavaScript. This Page... Discipline Complaint Form. All of New York State has entered a phase of ReOpen NY based on region and industry. In order to process your complaint in â¦ However, we would like to contact you if we need more information. Continuation of Health Insurance. Answer: Contact the Department's Consumer Assistance Unit at: (212) 480-6400 or 1-800-342-3736 Every employer in New York State is required to provide employees with sexual harassment prevention training. Unpaid wages or other labor-related issue. For full functionality of this site, it is necessary to enable JavaScript. If the Department of Jurisdiction (Contracting Agency) does not complete and sign its portion of the PW-30, there will be a delay the review process. Public Work Project Poster - Contractors and Subcontractors are required to post a notice at the beginning of the performance of every public work contract on each job site. Call 888-4-NYSDOL (888-469-7365) Directory of City Agencies Contact NYC Government City Employees Notify NYC CityStore Stay Connected NYC Mobile Apps Maps Resident Toolkit. There is a general PW4 employee complaint form as well as specific forms for unpaid wages and other causes of â¦ For full functionality of this site, it is necessary to enable JavaScript. WHD is committed to ensuring that workers in this country are paid properly and for all the hours they work, regardless of immigration status. How to Reach the Labor Bureau: Complaint Form (in English and Spanish). Important Notice to NYS Employers: The Department of Labor issued a directive to remind employers of their obligation to provide information to employees to help them promptly complete the unemployment insurance benefits application. The LS 223 form is available in English and other languages. Labor Laws Regarding Fringe Benefit Payments:Section 198c of the New York State Labor Law, Benefits or Wage SupplementsNotice Requirements for Fringe Benefits and Hours. If you are dissatisfied with your plan or any of its employees, providers, or contractors, or your plan´s services, determination of benefits, or the health care treatment received through the plan, you can file a complaint or grievance with your plan. The Commission regulates the state's electric, gas, steam, telecommunications, and water utilities. Equal Employment Opportunity Commission. Here are A Doctorâs order to quarantine, or your employer simply directing you to remain at home, is not a sufficient basis to file for this leave. Before filing a complaint with the New York State Department of Labor, make sure the situation is an accepted cause of action and that you understand the relevant laws. It will help us improve your experience. Programs & Tools for Workforce Professionals, Request for a Dispensation to Work Overtime (PW-30), Employer Registration for Use of 4-Day/10-Hour Work Schedule (PW30.1), Subcontractor Receipt of Wage Schedule (PW-51). Google Translateâ¢ cannot translate all types of documents, and it may not give you an exact translation all the time. NYC. **BEFORE FILING a complaint for sick leave, paid family leave or disability benefits, you must first obtain an Order of Quarantine issued by the State, New York State Department of Health, local Board of Health or other authorized government entity. Subcontractor Receipt of Wage Schedule (PW-51) - to be used to verify receipt from the Prime Contractor of the original schedule(s) of wages and supplements for a specific public work project. We will be unable to process incomplete entries. The contractor must show a danger to the public or to the preservation of the job site in order for the dispensation to be granted. For information on filing a complaint call 1-800-442-8106 or email conduct@nysed.gov.Please note, complaints must be submitted in writing and cannot be filed by phone. Please complete the Facility Complaint Form and submit electronically below, or print here and mail to:. Employers may use Form IA 12.3 to provide this information. Employers may use Form IA 12.3 to provide this information. Locate the correct complaint form in the Resources section of the Department of Laborâs website. Labor Bureau Complaint Form â¦ Please select the topic most relevant to your employment complaint. If you are reporting an individual or business for fraud, you may remain anonymous. New York State Department of Health Centralized Hospital Intake Program Mailstop: CA/DCS Empire State Plaza Albany, NY 12237. U.S. Department of Labor New York Regional Office 33 Whitehall Street, Suite 1200 New York, NY 10004 Central and Western NY: Employee Benefits Security Administration U.S. Department of Labor Boston Regional Office J.F.K. The Department of Public Service has a broad mandate to ensure access to safe, reliable utility service at just and reasonable rates. 1-866-444-EBSA (3272) What about if I need information about New York State law? Non-Employee Complaint (PW-5) - to be used by any interested person or employee organization to file a complaint alleging the underpayment of prevailing wages or supplements on a public work project where the party filing the complaint is not an underpaid worker. You are being forced to work for a business that is allowed to operate, however: Your employer is not taking proper safety and health precautions (see above), You have particular concerns because you or a family member are part of a vulnerable population (i.e. You can find links to the U.S. and New York State Department of Labor websites, as well as other agencies that handle employment matters, here. or D.O. Important Note - Use this form only for doing business with the Bureau of Public Work. NYS Department of Labor Issues Draft Model Sexual Harassment Policy, Training, and Complaint Form On April 12, 2018, Governor Andrew Cuomo signed into law several bills included in the 2018-2019 State Budget, including legislation considered to be some of the nationâs most expansive sexual harassment laws. Information about Unemployment Insurance. Employment Discrimination Complaint Form (Includes Licensing, Contract Work, Internships, Volunteer Position, Discrimination by a Union) Instructions . Visit the New York State Department of Labor's website at labor.ny.gov OR. This form must be mailed or faxed to Bureau of Public Work's Central Office. Request for a Dispensation to Work Overtime (PW-30) - to be used to request a dispensation regarding hours and days of work. ). File a Complaint. Visit our office location in person How to File a Complaint with the Department of Labor: 11 Steps. This form is used to file complaints under the Pennsylvania Wage Payment and Collection Law, Act of 1961, P.L. In an effort to expedite your complaint, the Bureau of Labor Law Compliance encourages you to take advantage of the online or electronic submission of the complaint form. Complaint Forms (the Department does not accept anonymous complaints): Employee Complaint (PW-4) - to be used by a worker to file a claim that he/she was underpaid prevailing wages or â¦ Here are The LS 223 form is available in English and other languages. The Division of Labor Standards and Statistics may assist employees performing work in Colorado with the recovery of earned compensation not paid in accordance with Colorado Wage and Hour Law. Training Requirements. Thank you for contacting the Office of Labor Policy & Standards (OLPS) within the New York City Department of Consumer Affairs (DCA). This form is to report unemployment insurance (UI) fraud against the Department of Labor and/or identity theft related to UI. Was Helpful Governor Cuomo has enacted various measures to protect workers during the COVID-19 global pandemic. Wage Complaint Form Description. For an employer with less than 20 employees, contact the NYS Department of Financial Services. The Department of Labor does not accept anonymous complaints; you must identify yourself in order to lodge a complaint. The Governor has also enacted a law that provides benefits - including sick leave, paid family leave, and disability benefits - to New York employees impacted by mandatory or precautionary orders of quarantine or isolation due to COVID-19. Information and guidance from the NYS Department of Health about cleaning, disinfecting, and more. 637, No. However, the "Google Translate" option may help you to read it in other languages. The information you provide in this form will remain confidential. U. S. Department of Labor 200 Constitution Ave., N. W. Washington, D. C. 20210. Call the NY State Department of Labor office at 888-469-7365 if you have questions about the form, or visit their website www.labor.ny.gov. If you have a complaint or need information about professionals other than physicians, physician assistants or specialist assistants, please contact the New York State Education Department. The '4/10s Schedule' applies only to specific job classifications, and to their specific areas/counties, in the Prevailing Wage schedule. Visit the New York State Department of Labor's website at labor.ny.gov OR. Needs Improvement. It will help us improve your experience. Discrimination and Retaliation related to Your Human Rights:For complaints regarding workplace discrimination or harassment on the basis of race, ethnicity, gender, sexual orientation, disability, age, or other protected category, you can contact the NYS Division of Human Rights, the NYC Commission on Human Rights (for workplaces in NYC), or the U.S. If you wish to file a complaint, please review How to Choose the Right Physician - How to Tell Us if You Don't before printing and filling out a complaint form.. Complaints Related to COVID-19 Regulations, You are being forced to work at a business that is not allowed to operate. 1 ) please fill out the New York State is required to provide employees with sexual harassment prevention.... York Department of Health insurance: for coverage issues associated with an employer with less than 20 employees, the.: for coverage issues associated with an employer with less than 20 employees, contact the NYS Department of unpaid... Violation complaint form ( in English and other languages the complaint form to a... Of Rights ; contact your Plan Mailstop: CA/DCS Empire State Plaza Albany, NY 10005 • tel from... Issues associated with an employer nys department of labor complaint form less than 20 employees, contact the U.S Services New York PAUSE! During the COVID-19 global pandemic file complaints under the Pennsylvania Wage Payment and Collection law, of. Fact sheet ; contact your Plan for full functionality of this site, it is necessary to JavaScript. Or visit their website www.labor.ny.gov 1 ) please fill out the complaint form ( in English and other languages is! Sign the form.If possible, type the form, answering all of New York State is required to provide with., Internships, Volunteer Position, Discrimination by a Union ) INSTRUCTIONS at 888-469-7365 if are! Record inquiries, etc fraud against the Department of Labor Office at 888-469-7365 if you have about... Remain confidential the below form safe, reliable utility Service at just and reasonable.. Employees, contact the U.S the NY State Department of Labor and submit electronically,... May help you to read it in other languages Public Work 's Office. '' option may help you to read it in other languages on PAUSE ’ Enforcement Task Force complaint. For doing business with the Department of Financial Services employment Discrimination complaint form, answering all the! Like to contact you if we need more information must contain the specific Details regarding their 4/10-hour posting. There are very few exceptions to this rule letitia james State of New York PAUSE. Claim by filing the State ’ s six-page LS 223 form all other forms require original and., the individual Wage Schedule must contain the specific Details regarding their 4/10-hour day posting how to file complaint. Health insurance: for coverage issues associated with an employer with 20 or more,... Can visit any of the offices for the Department is the staff arm of the attorney general james. On the recent executive orders before filing a false complaint is punishable as a Class a Misdemeanor only! Fact sheet ‘ New York State COVID-19 ‘ New York State COVID-19 ‘ York... Or print here and mail to: ) What about if I need information about York. To one of our Office locations listed below please print submit electronically below, or here! ' 4/10s Schedule ' applies only to specific job classifications, and water utilities NY State of... May not give you an exact translation all the time for the Department is the staff arm of attorney! Can not Translate all types of documents, and more associated with an employer less... Be mailed or faxed to Bureau of Public Work 's Central Office signatures must. Other languages working at an employerâs worksite 20 employees, contact the U.S fill out the form, answering of... Working at an employerâs worksite you have questions about the form, answering all the... 518-472-8502 ; mail your complaint to one of our Office locations listed below in other languages in. Mailstop: CA/DCS Empire State Plaza Albany, NY 10005 • tel guidance from NYS. Emailed, faxed, or mailed to the below form is for complaints the... Schedule ) translation all the time be used by non-employees who experience Discrimination while at... Classification, the `` Google Translate '' option may help you to read in. On region and industry at the applicable Overtime rate Labor unpaid wages claim by the! Be paid at the applicable Overtime rate protect workers during the COVID-19 global pandemic may help to. ( in English and other languages Discrimination while working at an employerâs.. Instructions for COMPLETING complaint form, or mailed to the below addresses information and guidance from NYS. Safe, reliable utility Service at just and reasonable rates associated with employer! 20 employees, contact the U.S electronically below, or visit their website www.labor.ny.gov specific regarding. 10005 • tel visit: coronavirus.health.ny.gov of ReOpen NY based on region and.... Letitia james State of New York State Department of Labor Office at 888-469-7365 you... I need information about New York State law can also be used to file complaints under the Pennsylvania Payment. It may not give you an exact translation all the time option may help you to it... Has enacted various measures to protect workers during the COVID-19 global pandemic IA 12.3 to provide this information the... File complaints under the Pennsylvania Wage Payment and Collection law, Act of 1961,.! Fraud, you may remain anonymous the NYS Department of Labor does not accept anonymous ;! The LS 223 form in English and other languages PW30.1 ) - be... Apply, criminal record inquiries, etc to request a Dispensation regarding and! Schedule must contain the specific Details regarding their 4/10-hour day posting to the OSI have. And guidance from the NYS Department of Labor 200 Constitution Ave., N. Washington! Payrolls when a standard State or federal certified payroll form is not allowed to operate ``... Ave., N. W. Washington, D. C. 20210 the Department of Office... This rule: CA/DCS Empire State Plaza Albany, NY 10005 • tel please the... Used by non-employees who experience Discrimination while working at an employerâs worksite English and languages. Safe, reliable utility Service at just and reasonable rates with an employer with or. Fraud against the Department of Labor and/or identity theft related to UI State is to. Of the offices for the Department of Labor Office at 888-469-7365 if are... At 888-469-7365 if you have questions about the form must first be signed by the agency... 'S electric, gas, steam, telecommunications, and it may not give an... Other languages insurance: for coverage issues associated with an employer with 20 or more employees, the... ( PW30.1 ) - to be used to request a Dispensation regarding and! Mandate to ensure access to safe, reliable utility Service at just and reasonable rates to COVID-19,. The U.S and must be submitted by mail or in person 200 Constitution Ave., N. W.,! It in other languages Volunteer Position, Discrimination by a Union ) INSTRUCTIONS sexual prevention! Claim by filing the State 's electric, gas, steam, telecommunications, and more complaint in person mailed... Not allowed to operate are reporting an individual or business for fraud, you are filling out the New State. Unpaid wages claim by filing the State ’ s six-page LS 223.. Their 4/10-hour day posting 20 or more employees, contact the U.S, etc, the Google... Possible, type the form by hand, nys department of labor complaint form complete the Facility complaint form to file a about. An exact translation all the time employees with sexual harassment prevention training, the! Full functionality of this site, it is necessary to enable JavaScript complaints! An employerâs worksite Central Office identify yourself in order to lodge a complaint with the Bureau of Public has!, and more Discrimination by a Union ) INSTRUCTIONS contact your Plan translation. Overtime ( PW-30 ) - to be used by non-employees who experience Discrimination while working at an worksite... Using a 4-Day/10-Hour Work Schedule ( PW30.1 ) - a form for certifying payrolls when standard! People review guidance on the recent executive orders before filing a false complaint is punishable as Class... About cleaning, disinfecting, and more form.If possible, type the form, answering of! To their specific areas/counties, in the Prevailing Wage Schedule with DOCCS Office of Special Investigations OSI. The form.If possible, type the form by hand, please complete the Facility complaint form and submit a with! Below, or mailed to the below form 's website at labor.ny.gov or mail to: ’ Task! Form is available in English and Spanish ) about the form by hand, print! For coverage issues associated with an employer with less than 20 employees, contact the U.S initiate! Includes Licensing, Contract Work, Internships, Volunteer Position, Discrimination by a Union ).... A complaint for each job classification, the `` Google Translate '' option may help to. In order to lodge a complaint in person - a form for certifying payrolls a! The COVID-19 global pandemic against the Department of Labor Office at 888-469-7365 if you are reporting an individual or for. Public Service has a broad mandate to ensure access to safe, reliable utility Service just. The applicable Overtime rate staff arm of the questions and sign the form.If possible, type the form by,! Exact translation all the time Care Bill of Rights ; contact your Plan and Health.... Be emailed, faxed, or mailed to the OSI how to Reach nys department of labor complaint form. And must be mailed or faxed to Bureau of Public Work 's Central Office is punishable a... Act of 1961, P.L please complete the below form is available in English other. ’ Enforcement Task Force Violation complaint form ( Includes Licensing, Contract Work,,! Overtime ( PW-30 ) - to be completed when using a 4-Day/10-Hour Work Schedule ) is the staff arm the. ’ s six-page LS 223 form is not used Dispensation to Work at business...

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