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NEW MEXICO DEPARTMENT OF WORKFORCE SOLUTIONS Labor Relations Division 1596 Pacheco Street, Suite 103 Santa Fe, NM 87505 Phone (505) 8276817 Fax (505) 8279676 FOR OFFICE USE ONLY CASE NUMBER: COUNTY:
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How to fill out a statement of wage claim:

01
Start by obtaining a copy of the statement of wage claim form. You can usually find this form on the website of your state labor department or through a quick online search.
02
Fill in your personal information accurately. This includes your name, address, contact information, and social security number. Double-check to ensure all the details are correct.
03
Provide the information about your employer. This includes their name, address, and contact information. Be as specific as possible to avoid any confusion.
04
Indicate the dates of your employment. Specify the exact start and end dates or indicate if you are still currently employed by the company.
05
Calculate and input the total amount of wages owed to you. This includes regular wages, overtime, commissions, bonuses, or any other form of compensation that has not been paid.
06
Specify the reason for the wage claim. It could be due to non-payment, underpayment, or any other violation of labor laws. Provide any supporting documentation you may have, such as pay stubs, timecards, or employment contracts.
07
Sign and date the statement of wage claim form. Make sure to read and understand the declaration before signing, as you are legally responsible for the information provided.

Who needs a statement of wage claim?

A statement of wage claim is typically needed by employees who are owed unpaid wages or have experienced wage-related violations by their employer. This could include individuals who have not received their full paycheck, were not paid overtime, or were not given proper compensation for hours worked. It is important to consult the specific labor laws in your jurisdiction to determine if you are eligible to file a wage claim.
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Statement of wage claim is a legal document filed by an employee against an employer to claim unpaid wages or benefits.
Any employee who believes they are owed unpaid wages or benefits from their employer is required to file a statement of wage claim.
To fill out a statement of wage claim, the employee must provide their personal information, details of the unpaid wages or benefits, and any supporting documentation.
The purpose of statement of wage claim is to formally request payment of any unpaid wages or benefits from an employer.
The information that must be reported on a statement of wage claim includes the employee's name, contact information, details of the unpaid wages or benefits, dates of employment, and any supporting documentation.
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