Home  /   DLSE FORM 55 PDF

Fill Dlse Form 55 Pdf, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Employees claiming violations of California’s meal and rest period laws should complete DLSE Form They can then detail the number of. overtime hours worked) or meal and rest period violations you should use this form: DLSE (Rev. 10/03). Here’s a sample Sample DLSE

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Not all cases will necessarily go dles a conference before a hearing. An essential issue for many Registered Interns and employers of Interns is whether Interns can be unpaid volunteers or must be classified as W-2 employees and paid accordingly. After the hearing, the hearing officer will issue an Order, Decision or Award of the Labor Commissioner ODAwhich will set forth the decision and the amount awarded, if any.

Your inputs are not required on the last page as it is reserved for the office use. The notice will describe the claim and will direct the employee and employer to attend the conference at a specified date, time, and place.

DLSE forms – wage

This form is however not suitable for filing a public works project claim and you need PW-1 form in such case. California law provides liquidated damages double the amount illegally withheldas well as attorney fees and costs to the prevailing party. It is usually a good idea to obtain legal advice before signing a settlement agreement or a release of claims. At the informal conference each party will appear at the assigned local district office.

For more info read our article on California meal and rest break policy. Yes, within 10 days of service of the order, decision, or award, either you or your employer can appeal and request a review in the county superior court.


The DLSE then schedules the claim for an administrative hearing. No, there is no discovery throughout the process. No, only employees can bring claims with the DLSE. The deputy will ask the parties whether they can resolve their differences and might make suggestions for settling the case.

Please also check other links to information provided on this site, such as Frequently Asked Questions and Publications which contain information sheets and brochures on many subject matters that are often the topic of questions, and the How To File a Claim sections. To obtain a form by mail, contact your local DLSE office. Astor 9 Cal. The Deputy Labor Commissioner will thereafter render an order, decision or award based on the evidence you presented and arguments you made.

California Labor Code section prohibits employers to require employees to relinquish or pay back a portion of their wages to their employers.

Free California Labor Commission Initial Report (DLSE Form 1) – PDF Form Download

Employees who want to recover money for violations of wage and hour laws have options. This article is not intended to serve as legal advice and is offered for educational purposes only. It is best for the form to be filed with the office location that handles wage claims for the area where the work was performed.


A 5 Law Guide. Evidence is much weaker if the employee created it from memory after filing the claim. The parties will not be under oath when answering questions, but should be prepared to discuss the claim with the Deputy. The catch to all this is that the party that loses on appeal must pay the other side costs and reasonable attorney fees.


The ofrm provided should not be used as a substitute for independent legal advice and it is not intended to address every situation that could potentially arise.

Hearings are formal proceedings. It does this, in part, by overseeing wage claims. Proceed to 33a if you were an hourly employee and specify the particulars in 33a and 33b as applicable.

Filing A California Labor Board Complaint – A Simple Guide For

Employees may choose the wage claim process with the DLSE for several reasons:. Protect Your Rights If something doesn’t seem right at work, tell our lawyers about it.

The court hearing will be held at the date, time, and department indicated on the Notice of Hearing provided by the superior court. In most cases, you will find an answer to your question. You should also have a dollar amount in mind that you are comfortable to settle the case.

The employee should also submit documentation in support of the claim. Work Lawyers PC work-lawyers-pc-vertical. There is no requirement that a wage and hour claim be filed with a state or federal agency before a lawsuit is filed. Our consultations are free and confidential for potential clients. At the end of the hearing, the superior court will issue a judgment that supersedes the ODA issued by the Labor Commissioner.

See Sonic-Calabasas A, Inc. The order will be sent to each party by first-class mail. The order, decision, or award shall include a summary of the hearing and rlse reasons for the decision.