WI Form LS-119 2013 free printable template

State of Wisconsin Dept. of Workforce Development Equal Rights Division Labor Standards Complaint Office use only Personal information you provide may be used for secondary purposes Privacy Law, Section

How to fill out WI Form LS-119

How to fill out WI Form LS-119

1. Begin by downloading the WI Form LS-119 from the official website or obtaining a hard copy.
2. Fill in your personal information in the designated fields, including your name, address, and contact number.
3. Provide details about your employment, including your employer's name, address, and contact information.
4. Describe the nature of your claim clearly and concisely in the provided sections.
5. Ensure you sign and date the form where required to certify that the information you provided is accurate.
6. Review the entire document for any errors or omissions before submission.
7. Submit the completed form either via mail to the specified address or electronically if that option is available.

Who needs WI Form LS-119?

1. Individuals who are filing a work injury claim in Wisconsin need WI Form LS-119.
2. Employees seeking compensation for workplace injuries or illnesses may also require this form.
3. Employers may need to complete or submit this form in cases related to claims involving their employees.

People Also Ask about

What are the rights of an employee in Wisconsin?

The Wisconsin Fair Employment Law prohibits discrimination in all areas of employment against any qualified person because of sex, race, disability, age (40 and over), creed, color, national origin, ancestry, sexual orientation, marital status, arrest and conviction record, military status, use of lawful products and

How do I file a complaint in Wisconsin?

If you have questions about a case or believe you may have information or a complaint related to a case handled by DOJ, please contact the Consumer Protection Hotline at 1-800-998-0700 or (608) 266-1852.

How do I file a complaint with the EEOC in Wisconsin?

There are strict deadlines for filing a charge of discrimination, please review the information in the timeliness tab or call 1-800-669-4000. For individuals who are Deaf or Hard of Hearing, you can reach EEOC by videophone at 1-844-234-5122.

How do I report an employer in Wisconsin?

phone: 608-243-2424 fax: 608-243-2433 e-mail: werc@werc.state.wi.us. Chapter 111, Wis. Stats. The rules of the Commission provide that complaints alleging unfair labor practices or prohibited practices may be filed by any party in interest and require that they must be in writing.

What to do if an employer doesn't pay you in Wisconsin?

If the employer refuses to pay wages earned on the regular established payday, the employee should request payment. If the employee doesn't receive the payment after 6 days, the employee may file a claim with the division. Once a claim is filed, the division will seek to resolve the matter with the employer.

How do I file a discrimination complaint in Wisconsin?

File an Equal Rights Division complaint Create your DWD ID. Enter your information, create a username and password, and click next. Confirm your email. Once you have created your DWD ID, you will receive a confirmation email from the DWD Wisconsin Logon Management System. File your complaint.

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What is WI Form LS-119?

WI Form LS-119 is a form used in Wisconsin for reporting the completion of a labor market survey, which gathers information about employment and wage data.

Who is required to file WI Form LS-119?

Employers who are involved in construction projects that are subject to prevailing wage rates are required to file WI Form LS-119.

How to fill out WI Form LS-119?

To fill out WI Form LS-119, employers need to provide specific details about their workforce, wages, and hours worked. Instructions are provided on the form itself for guidance.

What is the purpose of WI Form LS-119?

The purpose of WI Form LS-119 is to ensure compliance with Wisconsin's prevailing wage law by collecting data on wages paid to workers in public works projects.

What information must be reported on WI Form LS-119?

Information that must be reported on WI Form LS-119 includes the names of employees, their job classifications, wages paid, hours worked, and other relevant employment details.