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WH-124C Rev. 7/14. This information is available in an alternate format. Bureau of Labor and Industries. Wage and Hour Division. Labor Contracting Unit.
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How to fill out wh-124c

01
To fill out form WH-124C, follow these steps:
02
Download the form from the official website or obtain a hard copy from your employer.
03
Read the instructions carefully to understand the purpose and requirements of the form.
04
Provide your personal information accurately, including your name, address, and social security number.
05
Fill in the details of your previous employment, including the name of the employer, dates of employment, and job title.
06
Indicate whether you received any wages in lieu of notice or vacation pay after termination of employment.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the completed form to your current or previous employer as instructed.

Who needs wh-124c?

01
Form WH-124C is needed by individuals who have been terminated or have left their employment and are seeking to claim unpaid wages or seek further assistance from the Wage and Hour Division of the Department of Labor.
02
It is used to initiate a complaint against an employer who may have violated certain provisions of the Fair Labor Standards Act (FLSA) regarding wages and hours of work.
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