Fill Dlse Form 55 Pdf, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Employees claiming violations of California’s meal and rest period laws should complete DLSE Form They can then detail the number of. overtime hours worked) or meal and rest period violations you should use this form: DLSE (Rev. 10/03). Here’s a sample Sample DLSE

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Penalties for paycheck s that have bounced or are not negotiable within 30 days of receipt. Part 5 requires specifying if your hours of work are same or not in In order for your employer to appeal, it must first post an undertaking equivalent to the amount of the award. California employees have the right to file a wage claim against their employer for wages, penalties, and other demands for compensation.

Parties are not put under oath and are not expected to present witnesses. The employee should also submit documentation in support of the claim.

You should also have a dollar amount in mind that you are comfortable to settle the case. If either party is dissatisfied with the order, the matter may be appealed to the superior court. Time constraints, expenses, the potential for verbal confrontation, slse the adversarial nature of litigation discourages most workers.

San Francisco, CA The Conference If the Deputy refers the claim to a conference, a Notice of Claim Filed and Conference will be sent to both parties, which will provide a description of the claim; date, time, and place of the conference; and direct parties they are expected to attend the conference.

The Deputy Labor Commissioner will prepare an administrative complaint, which will be signed by you the claimant and served on your employer along with a notice of Hearing form and a blank answer form. If the employee fails to appear, the case will be dismissed. Tips are sole property of employees. Select no when not applicable. You should come prepared to discuss the facts of your case in detail with the Deputy Labor Commissioner in a persuasive manner.

This form is however not suitable for filing a public works project claim and you need PW-1 form in such case. The parties will not be under oath when answering questions, but should be prepared to discuss the claim with the Deputy. The parties should bring any documentation to the conference that may support their position.


Secondtake the completed form and an extra copy to your local DLSE district office closest to where you worked, see below for a list of offices for filing. Additionally, both parties are entitled, but not required, to be represented by counsel.

Employees may choose the wage claim process with the DLSE for several reasons:. DLSE Form for claimants with commission claims: But lawsuits are a more formal process and can be costly, complicated, and time-consuming.

If the employer fails to do so, it might be barred from presenting evidence on those defenses. The employer may not share in the tips or otherwise withhold them. In addition, Labor Code sections and prohibit employers from charging employees for anything that benefits the employer or anything that could be considered an obligation of the employer.

After the hearing, the hearing officer will issue an Order, Decision or Award of the Labor Commissioner ODAwhich will set forth the decision and the amount awarded, if any. The conference is an attempt to resolve the matter without going to the hearing. Schedule a free consultation with one of our employment attorneys today. Thus, the hearing officer has discretion in accepting or refusing evidence offered by the parties and has the authority to determine whether the assessment of penalties is appropriate in the specific case.

The failure to state all wage claims might prevent the employee from raising claims later that could have been resolved in the same administrative proceeding. In the example above, the employee should have been wary about giving up the right to bring unrelated claims—particularly since the employee might be surrendering claims without knowing that those claims exist.

An undertaking is cash deposit or an appeal bond which is issued by a licensed surety. If less than 72 hours of notice was provided, the employer has 72 hours after last day of work to make final payment. For example, California has adopted a higher minimum wage than is required by federal law. If something doesn’t seem right at work, tell our lawyers about it. This article provides a brief discussion of the process and procedures for a wage claim filed with the California Labor Commissioner.


This form notifies your employer that a wage claim has been filed. You can check out our guide on unpaid final paychecks in California.

Free California Labor Commission Initial Report (DLSE Form 1) – PDF Form Download

The hearing officer has discretion to decide the order in which evidence is presented. A Deputy Labor Commissioner will also be assigned to handle your matter. Begin filing the Initial Report or Claim by answering preliminary questions starting with the selection of whether a retaliation complaint is filed.

Choosing how to proceed is often the first important decision in a case. An employee who appeals is entitled to a new hearing in the superior court. Both lawsuits and wage claims involve conferences and hearings at which evidence can be presented for, legal arguments made.

Waging a Claim Over Wages

As a result, it is important to verify and update any reference or information that is provided in this article. The employee should provide copies of these documents while retaining the originals. Procedures for obtaining an entertainment work permit Rev. The DLSE maintains a list of offices that can be found by corm this link. Joanna Workman, a Post-Doctoral Psychology Intern who provided slse services at UCSF, should have been paid at least minimum wage for each hour she was required to work or if she should have been classified as a volunteer.

How To File A Wage Claim | Reyes & Associates | Los Angeles

They may be asked to identify dkse so that the deputy can estimate the amount of time that will be needed for a hearing. In the majority of cases where the employer fails to attend the conference, the claim will be scheduled for a hearing. Instructions for completing the form are available in several languages. Fkrm the event the case is not settled at the informal conference, it will be set for hearing. Unpaid wages, including overtime, commissions and bonuses.

The following initial actions may occur: