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FILE A WORKER MISCLASSIFICATION COMPLAINT
Please complete the following form to submit a complaint regarding the classification of workers.
 
You are not required to provide your name or contact information to report a complaint. 
 
Pursuant to public records law, any information which isprovided on this complaint form is disclosable and may be provided (upon request) to the person against whom your complaint is filed. 
 
Please be advised that if the information we receive from you is not sufficient to effectively investigate this matter or there are any questions regarding your complaint and we are unable to contact you, we may be unable to establish a violation of law, and no further action may be taken.
 
If you would like to file a complaint with a specific agency, feel free to contact that agency directly.
 

 
Your Name:
Your Telephone:
Your Address:
Your E-Mail Address:
Entity Misclassifying Worker(s):
Contact Telephone:
Contact Address:
Type of Business:
Number of Employees:
Contact Info for Employees:
Contact Info for Other Witnesses:
Nature of Complaint (please be specific):