CALIFORNIA LABOR COMMISSIONER'S OFFICE
Bureau Of Field Enforcement (BOFE) Unit
Report of Labor Law Violation
The Report of Labor Law Violation filing is designed to report labor violations affecting a group of employees. Labor code § 90.5 (b) requires that the Labor Commissioner’s Office identify priorities for investigation to be undertaken in industries, occupations and areas in which employees are relatively low paid and unskilled and occupations and there has been a history of violations.
Consequently, not all Report of Labor Law Violation are assigned for investigation. Inspections are commonly targeted in industries or areas where employees are subject to violations involving minimum wage, overtime requirements, child labor, unreported wages and or Workers Compensation Violations that affect a large group of employees. The Bureau of Field Enforcement does not pursue individual claims.
Click
here
for overview of the Bureau of Field Enforcement. Please keep in mind that even in cases where the Bureau of Field Enforcement starts an investigation, we will not be able to provide details on the course of the investigation as is considered confidential until an action is brought in court or an administrative hearing. The reporting party is normally contacted
only
if there is a need for additional information. No updates on the investigation will be provided.
IMPORTANT NOTICE
If you are seeking unpaid wages as well as reporting a labor law violation, you should also
file a wage claim
.
I have read and understand the above instructions.
* The Labor Commissioner will maintain confidentiality as appropriate in each case and to the extent provided for under the law. Information may need to be released in some cases.
Section 1. Reporting Party (Individual or Representative)
Reporting Party
First Name of Reporting Party
Last Name
If Interpreter is Needed, Indicate Language:
Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
What is the best way to contact you?
Phone
Email
Phone
Email
If you are an ADVOCATE, or are represented by a lawyer or other advocate, enter your ADVOCATE and ORGANIZATION information:
Advocate Information
Organization Name
Advocate Name
Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
Phone
Email
Section 2. Employer Reported
Entity Type
Please select...
Corporation
Individual
Partnership
LLC
LLP
Other (Explain)
Entity Type "Other" Explanation
First Name
Last Name
Employer Business Name
Business Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
DBA
Phone
Total Employees
Type of Business
Employer Industry
Please select...
Agriculture
Car Wash
Construction
Garment
Hotel
Janitorial
Restaurant
Security Guard
Warehouse
Nail Salon
Res Care
Port
Cannabis
Manufacturing
Retail
Health Care
Other
Employer Industry "Other"
Owner's Name
Name and Job Title of Person in Charge
Work Locations In California
Address
City
State
Please select...
CA
Zip
If Address is Unknown, What is the Nearest Intersection?
Employer Still Operating There?
Yes
No
Unknown
Business Hours
Total Employees
Add more work locations
Work Locations In California
Address
City
State
Please select...
CA
Zip
If Address is Unknown, What is the Nearest Intersection?
Employer Still Operating There?
Yes
No
Unknown
Business Hours
Total Employees
Is There a Union Contract
Yes
No
Section 3. Work Hours and Wages
Did you or do you work for the Employer?
Yes
No
Date of Hire
Last Day of Work (if applicable)
Quit
Fired
Still Employed
Who set the work schedule? (Full name and job title/position)
Who pays employees? (Full name and job title/position)
How are employees paid?
Please select...
Hourly
Salary
Piece Rate
Other
Explain:
Method of Payment
Check
Cash
Both Check & Cash
Other Method (Explain)
Method of Payment Varies per Employee or Job Position (Explain)
Other / Varies Explanation
If employees are paid in cash, does the employer keep cash payment record or logs?
Yes
No
Don't Know
Does the Employer keep time record of hours worked by Employees?
Yes
No
Don't Know
What languages are spoken by employees?
English
Spanish
Mixtec
Trique
Cantonese
Mandarin
Korean
Vietnamese
Tagalog
Cambodian
Hmong
Thai
Punjabi
Hindi
Russian
Other (Please List)
Other Languages
Section 4. Suspected Violations of Employer
The boxes below describe conduct by an employer that violates the law. Please put a check mark in the box(es) if the employer engages in, or any employee or employees have experienced, any of the following violations:
No Workers' Compensation Insurance
Minimum Wage Violations
Click here to learn more about the violation
Minimum Wage
HealthCare Minimum Wage
FastFood Minimum Wage
Please describe the violation in your own words
Estimated number of employees affected (min wage)
Overtime Violations
Click here to learn more about the violation
Overtime Violation
Please describe the violation in your own words
Estimated number of employees affected (overtime)
Contracted Rate Violations
Click here to learn more about the violation
Wages are not paid at the contracted rate
Please describe the violation in your own words
Estimated number of employees affected (Contracted rate)
Reporting Time Premium Pay Violations
Click here to learn more about the violation
No reporting time premium pay
Please describe the violation in your own words
Estimated number of employees affected (Reporting time premium pay)
Pay Stub Violations
Click here to learn more about the violation
Pay Stub Violations
Please describe the violation in your own words
Estimated number of employees affected (pay stub)
Meal Period Violations
Click here to learn more about the violation
Meal Period Violations
Please describe the violation in your own words
Estimated number of employees affected (meal period)
Rest Period Violations
Click here to learn more about the violation
Rest Period Violations
Please describe the violation in your own words
Estimated number of employees affected (rest period)
Warehouse Distribution Centers
Click here to learn more about the violation
Description of quota not provided
Quota prevents compliance
Please describe the violation in your own words
Estimated number of employees affected (warehouse distribution center)
Pay Date Violations
Click here to learn more about the violation
Pay Date Violations
Please describe the violation in your own words
Estimated number of employees affected (pay date)
Garment Manufacturing
Click here to learn more about the violation
Garment Manufacturing
Piece rate pay
Please describe the violation in your own words
Estimated number of employees affected (Garment Manufacturing)
Paid sick leave violations
Click here to learn more about the violation
No paid sick leave
No notice of available sick leave on itemized wage statement or separate writing
Please describe the violation in your own words
Estimated number of employees affected (
Paid sick leave violations)
Child Labor Violations
Click here to learn more about the violation
Child Labor Violations
Please describe the violation in your own words
Estimated number of minors affected
Minor Employee
Full Name
Age
Job Position / Type of Work Performed
Normal Work Schedule
How was the minor paid
By check, in cash, both cash and check, or other method
Business Expense Violation
Click here to learn more about the violation
Additional information about business expense violation
Business Expense Violations
Please describe the violation in your own words
Estimated number of employees affected (business expense)
Misclassification as Independent Contractors
Click here to learn more about the violation
Employees misclassified as independent contractors
Please describe the violation in your own words
Estimated number of employees affected (misclassification)
Misclassification as Exempt Employees
Click here to learn more about the violation
Additional information about misclassified as exempt employees
-1
Additional information about misclassified as exempt employees
-2
Salaried employees misclassified as exempt employees
Please describe the violation in your own words
Estimated number of employees affected (misclassification)
Immigrant Worker Protection Act (AB 450) Violation
Click here to learn more about the violation
Violation of Immigration Worker Protection Act
Please describe the violation in your own words
Licensing / Registration Violations
Click here to learn more about the violation
Unlicensed construction contractor
Contracted with unlicensed construction contractor
Unlicensed farm labor contractor
Unregistered garment contractor or manufacturer
Unregistered car wash
Unregistered janitorial contractor
Please describe the violation in your own words
California WARN Act Violation(s)
Click here to learn more about the violation
Additional information on California WARN act violations
California WARN Act Violation(s)
Please describe the violation in your own words
COVID-19 Rehire Violation(s)
Click here to learn more about the violation
COVID-19 Rehire Violation(s) - Employer failed to rehire employee employed for at least 6 months laid off due to COVID-19
Please describe the violation in your own words
Lactation Accommodation Violations
Click here to learn more about the violation
Failure to provide Lactation Accommodations
Please describe the violation in your own words
Other Violations (briefly explain)
Estimated number of employees affected (other violations)
Please provide any other information about your complaint that you believe is important for the Labor Commissioner to know
I Hereby Certify That The Information Above Is a True Statement to the Best of my Knowledge
Signed (Enter Full Name)
Contact Information