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NEW MEXICO DEPARTMENT OF WORKFORCE SOLUTIONS Labor Relations Division 121 Tiers Ave. NE Ste. 3000 Albuquerque, NM 87102 Phone (505) 8414400 Fax (505) 8414424 FOR OFFICE USE ONLY CASE NUMBER: COUNTY:
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How to fill out statement of wage claim

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How to fill out statement of wage claim:

01
Obtain the necessary forms: Start by obtaining the appropriate statement of wage claim form from your local labor department or employment agency. This form will typically be available online or in person.
02
Provide personal details: Begin by filling out your personal information, including your full name, address, phone number, and email address. Ensure that all information is accurate and up to date.
03
State the employer's information: In the next section, provide the details of your employer, including their name, address, phone number, and any other relevant contact information. This will help identify the party responsible for the wage claim.
04
Specify the nature of employment: Indicate your position and job title, as well as the date you started working for the employer and the date your employment was terminated, if applicable. Include any details about your work schedule, such as full-time or part-time, and if you were paid on an hourly or salary basis.
05
Record wages owed: List the wages that are owed to you in the appropriate section of the form. Include the dates of the pay periods, the hours worked, the rate of pay, and any additional compensation or benefits that were promised but not received.
06
Provide supporting documentation: Attach any supporting documentation that will help substantiate your wage claim. This can include pay stubs, timecards, employment contracts, or any other relevant records that demonstrate the hours worked and the wages owed.
07
Sign and date the form: Once you have completed all the required sections and attached any necessary documents, sign and date the statement of wage claim form. By signing the document, you are affirming that the information provided is accurate to the best of your knowledge.

Who needs statement of wage claim:

01
Employees who have not been paid: If you have not received your regular wages, overtime pay, or any other compensation that is owed to you by your employer, you may need to file a statement of wage claim. This form will help you document and make a legal claim for the unpaid wages.
02
Independent contractors: If you are an independent contractor and your client or employer has not paid you for the work you have performed, you may also need to file a statement of wage claim. This will help you take legal action to recover the unpaid fees or compensation.
03
Former employees: Even if you are no longer employed by the company, you can still file a statement of wage claim for any unpaid wages or compensation that you were entitled to while you were working there. This form will help you assert your rights and seek resolution for any outstanding payments.
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The statement of wage claim is a formal document submitted by an employee to claim unpaid wages from their employer.
Any employee who believes they are owed unpaid wages 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, and any supporting documentation.
The purpose of a statement of wage claim is to formally inform the employer of the unpaid wages owed to the employee and to request payment.
The statement of wage claim must include the employee's name, address, contact information, details of the unpaid wages, dates of work, and any supporting documentation.
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