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DIR  
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RETALIATION AND/OR EQUAL PAY ACT (EPA) COMPLAINT
For information about filing Retaliation and EPA complaints visit: dir.ca.gov/dlse/dlseRetaliation.html.
File Retaliation Complaints and Equal Pay Act Complaints separately.
Complaint Type

Claimant Information










Language Assistance


Advocate/Representative assistance

Representation/Advocate Information










Employer/Business Information















Other work location

Add work address for claimant




Employment Status



Please specify if paid by hour, day, week, month, piece rate, commission or a combination.

Complete at least one of the following




Immigration Threat


Other Claims Filed

If you were not paid your wages and would like to learn about filing a wage claim, please visit: https://www.dir.ca.gov/dlse/HowToFileWageClaim.htm
Other Claim Information




Retaliation




Enter the name(s) of each person involved in carrying out changes. Separate each name  with a semi-colon (;).

Enter the title(s) of each person involved in carrying out changes. Separate each name with a semi-colon (;).





Equal Pay Act (EPA)













Witnesses

All witnesses are confidential, and the Labor Commissioner’s Office will not reveal their identiies unless it becomes necessary to proceed with the investigation or to enforce the Labor Commissioner’s determination.
Add Witness










Remedies

Authorizations to Release Information
Please click the ‘Submit’ button to review your responses on the summary page. You may print a copy for your records from the summary page. However, to complete the process, you must click the ‘Confirm’ button for the data to be received by the Labor Commissioner’s Office. If you do not click the Submit and Confirm buttons, your claim will not be filed and you may miss your deadline to file with the Labor Commissioner’s Office.

Please only click the 'Submit/Confirm' button once. Please do not close this window or click the Back button on your browser after clicking 'Submit/Confirm' until the submission process has completed.