Before Filing a Wage and Benefit Complaint

IMPORTANT: Complaints filed under the Payment of Wages and Fringe Benefits Act, 1978 PA 390, as amended, may prevent you from pursuing an alternative remedy through a different action (e.g., court).

You can complete and mail a complaint form by downloading the Wage and Benefit Complaint Form by clicking on the following link:
Wage and Benefit Complaint Form

If you file through the online complaint process and provide an email address, you will receive an email notification that your online complaint form was received, and a copy of your complaint form in pdf format as an attachment. It may take up to 72 hours for you to receive this notification; please do not submit the complaint more than once.

You must have Adobe Acrobat Reader to download, open or view the complaint form in pdf format.

If you are claiming wages and/or fringe benefits for different periods worked for different employers, you must use a separate form for each claim.

Fill out the claim form completely, and accurately, providing as much of the requested information as possible. Items highlighted in yellow in the online form are required, all other fields are optional.

If your address or telephone number changes, it is your responsibility to notify the Wage and Hour Division immediately or your claim may be closed. If you receive any payments directly from the employer, you must notify the Wage and Hour Division of the amount and date received.

Do Not Fill Out The Wage and Benefit Complaint Form If:

FILING A CLAIM

YOU MUST PROMPTLY NOTIFY THE DIVISION IF:

Failure to timely report this information may delay investigation or stop any payments on your claim.