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Get the free Labor Standards Complaint Form (LS223) - NY.gov

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Division of Labor Standards 1220 Washington Ave. Building 12, Room 185B Albany, NY 12226 : LS LCM PV www.labor.ny.gov , ,
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How to fill out labor standards complaint form

01
Obtain the labor standards complaint form from the appropriate regulatory agency's website or office.
02
Read the instructions carefully to understand the information required.
03
Fill out your personal information, including your name, address, and contact details.
04
Provide details about your employer, including their name, address, and contact information.
05
Describe the nature of the complaint clearly and concisely, providing specific incidents and dates if possible.
06
Include any supporting documents or evidence that reinforce your complaint, such as pay stubs or emails.
07
Review the filled form for accuracy and completeness.
08
Submit the form as instructed, either online, by mail, or in person at the designated office.

Who needs labor standards complaint form?

01
Employees who believe their labor rights have been violated, such as issues related to wage theft, unsafe working conditions, or discrimination.
02
Former employees who have experienced unfair treatment or violations during their employment.
03
Labor unions or representatives acting on behalf of employees to address labor standard violations.
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The labor standards complaint form is a document used to report violations of labor laws and standards, such as wage and hour laws, workplace safety, and employee rights.
Employees or their representatives who believe their labor rights have been violated are required to file a labor standards complaint form.
To fill out the labor standards complaint form, provide accurate personal information, details regarding the employer, a description of the alleged violation, and any evidence or documentation to support your claim.
The purpose of the labor standards complaint form is to formally initiate the investigation of labor law violations and ensure that workers' rights are protected.
The form typically requires personal details of the complainant, employer information, a description of the violation, dates of occurrence, and any relevant documents or witnesses.
The specific deadline for filing a labor standards complaint form in 2025 can vary depending on the type of claim, but it is generally advised to file as soon as possible after the violation occurs.
The penalty for late filing may vary and could include dismissal of the complaint or loss of certain rights to back pay or other remedies, depending on the jurisdiction and specific circumstances.
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