PAGA Notices and Related Documents

Notices submitted pursuant to the Private Attorney General Act (PAGA) received by the Labor & Workforce Development Agency (“LWDA”) and/or the Department of Industrial Relations (“DIR”) are considered public records under California’s Public Records Act (Government Code, section 6250, et seq.) In general, that law requires a public agency, upon request from any member of the public, to disclose a public record unless the law allows the agency to withhold the record, or to redact some of the information in the record. In the case of documents and information submitted under the PAGA statute, DIR has designated applications for fee waivers as confidential so they will not be provided to members of the public. Also, LWDA & DIR do not disclose an individual’s personal contact information (home address, home phone number, personal email); Social Security or taxpayer identification number; and date of birth. In accordance with the State Records Management Act, older PAGA records may be destroyed after four years if the matter is no longer active.

Court documents that are received by LWDA under the PAGA are considered public documents and are available at the PAGA Search Page.

The Information Practices Act [“IPA”] (Civil Code, section 1798 et seq.) gives individuals certain rights with respect to their records. To learn more about the Information Practices Act, and how DIR protects individual’s personal information, please see https://www.dir.ca.gov/od_pub/privacy.html. If you have specific questions about how personal information in PAGA records is handled, please write to Privacy@DIR.ca.gov.

I acknowledge receipt of the "Privacy and PAGA Notices and Related Documents” and certify that I have read and understand this document.

Private Attorneys General Act (PAGA) - Filing

Proposed Settlement of PAGA case

PAGA Number (LWDA-CM-) :

Please enter only the numbers after "LWDA-CM-" in the following format, "XXXXXXXXX-XX".

Search for PAGA Case number

The timing of the deposit of settlement checks is governed by the provisions of the State Administrative Manual. This ministerial, administrative act of depositing a settlement check mandated by state procedures should not be construed as nor does it constitute an unconditional, voluntary and/or absolute acceptance of settlement proceeds or approval of the terms of any settlement agreement or judgment related to that check.

Your Information (Person Who is Filing)

Your First Name

Your Last Name

Your Email Address

Your Street Name, Number and Suite/Apt

Your Mobile Phone Number

Your City

Your Work Phone Number

Your State

Your Zip/Postal Code

Court and Hearing Information

Court

Court Case Number

Hearing Date (if any)

Hearing Time

Hearing Location

Number of aggrieved employees

Gross settlement amount

Gross penalty amount

Penalties to LWDA

Date of proposed settlement

Proposed Settlement and Other Documents

Proposed Settlement

Other Attachment (if any)

Should you have questions regarding this online form, please contact PAGAInfo@dir.ca.gov

IMPORTANT NOTICE OF REDACTION RESPONSIBILITY: All filers must redact: Social Security or taxpayer identification numbers; personal addresses, personal telephone numbers, personal email addresses, dates of birth; names of minor children; & financial account numbers. This requirement applies to all documents, including attachments.

I understand that, if I file, I must comply with the redaction rules consistent with this notice.

Contact Information