Filing a Wage Claim, Instructions and Form

Before filing, did you discuss your situation with your employer or former employer? If you haven't yet talked with your employer or former employer about the issue in dispute, do so. Communication is the key. We have found that some disputes can be resolved if both parties take the time to communicate with one another. We have found this to be the case especially with final paycheck situations - your check may be issued and waiting for you to pick it up or the employer may be waiting for a call from you to provide your new address.

We also understand, however, that not all issues can be resolved this easily. If this is the case, you may proceed by filing a wage claim with our office.

Completing the Wage Claim Form:

  • Print and fill out by typing or printing. Download Printable Form
  • Read carefully and answer all questions on the wage claim form.
  • Your claim must be filled out completely and legibly (front & back). Please print or type.
    • provide your name, address, social security number and telephone number where you can be reached during the day.
    • provide your employer's name, name of business, correct address and telephone number.
    • provide a dollar amount you are claiming is due, even if it is just your best estimate.
    • provide inclusive dates in which you are claiming the wages.

    ***without this information, your claim will be returned.

  • Attach any documentation that will help substantiate your claim. You may want to include a detailed letter explaining the details of your claim.
  • Regardless of the form used, return the original, signed and notarized Wage Claim form to the Wage & Hour Unit. Our address is provided at the top of the claim form. Faxed claims will not be accepted as we need the original notarized claim form.

Alternatives

Other options for obtaining a form are contacting your local job service office, or by contacting our office directly.

Contact Information

Labor Standards Bureau
1805 Prospect Avenue
P.O. Box 201503
Helena, MT 59620-1503
(406) 444-5600

Thursday, June 19, 2014

Related Links

 

 

2015 Minimum Wage Determinationhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/----2015 Minimum Wage Determinationhttp://assets.dli.mt.gov/erd/lsdocs/dli-erd-ls011.pdf, http://assets.dli.mt.gov/erd/lsdocs/dli-erd-ls011.pdf
Administrative Employeeshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/administrative-employeesAdministrative Employees
Computer Employeeshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/computer-employeesComputer Employees
Executive Employeeshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/executive-employeesExecutive Employees
Federal Minimum Wagehttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/federal-minimum-wageFederal Minimum Wage
Filing a Wage Claim, Instructions and Formhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/filing-a-wage-claimFiling a Wage Claim, Instructions and Form
Hours Workedhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/hours-workedHours Worked
Minimum Wage Historyhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-actMinimum Wage Historyhttp://assets.dli.mt.gov/erd/lsdocs/dli-erd-ls121.pdf, http://assets.dli.mt.gov/erd/lsdocs/dli-erd-ls121.pdf
Minimum Wage and Overtime Exemptionshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/minimum-wage-and-overtime-exemptionsMinimum Wage and Overtime Exemptions
Montana Wage and Hour Posterhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/wage-and-hour-posterMontana Wage and Hour Poster
Outside Salesmanhttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/outside-salesmanOutside Salesmanhttp://www.ecfr.gov/cgi-bin/text-idx?c=ecfr&sid=48d6ee3b99d3b3a97b1bf189e1757786&rgn=div5&view=text&node=29:3.1.1.1.23&idno=29#29:3.1.1.1.23.6, Outside Salesman
Overtimehttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/overtimeOvertime
Professional Employeeshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/professional-employeesProfessional Employees
State Minimum Wagehttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/state-minimum-wageState Minimum Wage
Travel Timehttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/travel-timeTravel Time
Wage and Hour Formshttp://erd.dli.mt.gov/labor-standards/wage-and-hour-payment-act/wage-hour-formsWage and Hour Forms

 
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