underlying health conditions or over 70), Your employer has failed to pay you wages owed for hours worked, earned sick pay or paid time off, Your employer has threatened or fired you for reasons related to COVID-19, You qualify for COVID-19 paid sick leave and your employer refuses to pay it, Your employer is forcing you to work when you are sick. Printable Complaint Form. 637, No. Use this complaint form if you are an employee filing a complaint against your employer, or if you are an intern or a volunteer filing against an employer. New York State Freedom of Information Law (FOIL) requests must be submitted using the New York State Freedom of Information Law Request form. You can also check the status of a complaint, or add information, such as Letter of Authorization (PDF), to an existing complaint. In an effort to expedite your complaint, the Bureau of Labor Law Compliance encourages you to take advantage of the online or electronic submission of the complaint form. All work in excess of 8 hours in a day or 5 days in a week must be paid at the applicable overtime rate. If you cannot complete the form online or need additional assistance with where to direct your complaint, please call our OAG Help Line at (800) 771-7755. A Doctor’s order to quarantine, or your employer simply directing you to remain at home, is not a sufficient basis to file for this leave. Important: Please review the guidance from Empire State Development and the ReOpen NY Website before submitting a complaint.File a Complaint, COVID-19 Paid Sick Leave Fact Sheet - Information for Employees:English | Bengali | Chinese | Haitian-Creole | Korean | Nepali | Polish | Russian, COVID-19 Paid Sick Leave Fact Sheet - Information for Employers:English | Bengali | Chinese | Haitian-Creole | Korean | Nepali | Polish | Russian, Paid Family Leave or Disability Benefits related to COVID-19, Paid Sick Leave for COVID-19 Impacted New Yorkers, Other Leaves of Absence for Health Conditions: Family and Medical Leave Act (FMLA), Families First Coronavirus Response Act: Employee Paid Leave Rights. instructions how to enable JavaScript. Google Translate™ cannot translate all types of documents, and it may not give you an exact translation all the time. Request for a Dispensation to Work Overtime (PW-30) - to be used to request a dispensation regarding hours and days of work. Answer: Contact the Department's Consumer Assistance Unit at: (212) 480-6400 or 1-800-342-3736 All other forms require original signatures and must be submitted by mail or in person. Information and guidance from the NYS Department of Health about cleaning, disinfecting, and more. Information and guidance from the NYS Department of Health about cleaning, disinfecting, and more. floor, new york, ny 10005 • tel. Programs & Tools for Workforce Professionals, Request for a Dispensation to Work Overtime (PW-30), Employer Registration for Use of 4-Day/10-Hour Work Schedule (PW30.1), Subcontractor Receipt of Wage Schedule (PW-51). You can initiate a New York Department of Labor unpaid wages claim by filing the state’s six-page LS 223 form. If the Department of Jurisdiction (Contracting Agency) does not complete and sign its portion of the PW-30, there will be a delay the review process. The form must first be signed by the contracting agency. If you work for a business that is not currently permitted to operate in New York State, you may not be forced to go to the worksite. Complaint Forms (the Department does not accept anonymous complaints): Employee Complaint (PW-4) - to be used by a worker to file a claim that he/she was underpaid prevailing wages or … Was Helpful labor bureau. ). U.S. Department of Labor New York Regional Office 33 Whitehall Street, Suite 1200 New York, NY 10004 Central and Western NY: Employee Benefits Security Administration U.S. Department of Labor Boston Regional Office J.F.K. Before filing a complaint with the New York State Department of Labor, make sure the situation is an accepted cause of action and that you understand the relevant laws. It will help us improve your experience. Discipline Complaint Form. The Department of Labor does not accept anonymous complaints; you must identify yourself in order to lodge a complaint. New York State Department of Health Centralized Hospital Intake Program Mailstop: CA/DCS Empire State Plaza Albany, NY 12237. You or your establishment may print this form and mail it to the OPD office closest to where the incident took place or fax it to: 212-951-6420. Complaint Form - New York State Department of Health. This form can also be used by non-employees who experience discrimination while working at an employer’s worksite. Thanks for the feedback! Here are Health Details: INSTRUCTIONS FOR COMPLETING COMPLAINT FORM To file a complaint about a physician (M.D. The Governor has also enacted a law that provides benefits - including sick leave, paid family leave, and disability benefits - to New York employees impacted by mandatory or precautionary orders of quarantine or isolation due to COVID-19. Thank you for contacting the Office of Labor Policy & Standards (OLPS) within the New York City Department of Consumer Affairs (DCA). Frequently Asked Questions about Wages and Hours. Visit the New York State Department of Labor's website at labor.ny.gov OR. NYS Department of Labor Issues Draft Model Sexual Harassment Policy, Training, and Complaint Form On April 12, 2018, Governor Andrew Cuomo signed into law several bills included in the 2018-2019 State Budget, including legislation considered to be some of the nation’s most expansive sexual harassment laws. The Department is the staff arm of the Public Service Commission. Call the NY State Department of Labor office at 888-469-7365 if you have questions about the form, or visit their website www.labor.ny.gov. Visit our office location in person Fax the Complaint form: 518-408-1157; Scan the form and E-mail to: nhintake@health.state.ny.us; Complaints will be accepted if the occurrence is within the past year of the submission of your complaint to the NYS Department of Health. (212) 416-8700 • fax (212) 416-8694 New York State Division of Human Rights Complaint Form ... New York State Department of Labor (518) 457-9000 (888) 4-NYSDOL / (888-469-7365) TTY/TDD (800) 662-1220 www.labor.ny.gov When you have finished answering these questions, please turn to Page 8. Discrimination and Retaliation related to Your Human Rights:For complaints regarding workplace discrimination or harassment on the basis of race, ethnicity, gender, sexual orientation, disability, age, or other protected category, you can contact the NYS Division of Human Rights, the NYC Commission on Human Rights (for workplaces in NYC), or the U.S. The contractor must show a danger to the public or to the preservation of the job site in order for the dispensation to be granted. Step 2: Complete the "Complaint of Discrimination in Employment Under Federal Government Contracts" form and submit it by: filing the complaint form electronically with the appropriate OFCCP Regional Office; or; mailing or faxing the complaint form to the appropriate OFCCP Regional Office; or; filing the complaint form in person with any OFCCP District or Area office. If you wish to submit your complaint form via U.S. mail, please complete, print and sign the Printable Complaint Form and submit it to: New York State Department of State Division of Consumer Protection Consumer Assistance Unit 99 Washington Avenue Albany, New York 12231-0001 Complaint Form Translations: You can visit any of the offices for the Department of Labor and submit a complaint in person. If you wish to file a Wage Complaint with the Division, you must fully complete and submit to the Division a Wage Complaint form. Continuation of Health Insurance. Wage Complaint Form Description. In order to process your complaint in … See more information under Resources below. Needs Improvement. If a question does not apply to … Consumers with hearing or speech impairment can contact the Department of Public Service through the NYS Relay Service by dialing 711. Equal Employment Opportunity Commission. An employer that does not use the model training developed by the Department of Labor and Division of Human Rights must ensure that the training that they use meets or exceeds the following minimum standards. **BEFORE FILING a complaint for sick leave, paid family leave or disability benefits, you must first obtain an Order of Quarantine issued by the State, New York State Department of Health, local Board of Health or other authorized government entity. The information you provide in this form will remain confidential. For full functionality of this site, it is necessary to enable JavaScript. Every employer in New York State is required to provide employees with sexual harassment prevention training. The Commission regulates the state's electric, gas, steam, telecommunications, and water utilities. Pension/Retirement. Email: Labor.Bureau@ag.ny.gov; Fax: 212-416-8694 Employers may use Form IA 12.3 to provide this information. JavaScript is currently disabled in your web browser. For information on how to obtain an Order from the Department of Health, see the Obtaining an Order for Quarantine fact sheet. If you are unable to submit electronically, or print this form, please call the toll-free number at 1-800-804-5447 and someone will assist you. Information about Unemployment Insurance. COMPLAINT FORM FOR FREELANCE WORKERS. The New York State Office of the State Comptroller's website is provided in English. This form must be mailed or faxed to Bureau of Public Work's Central Office. Payroll Certification (PW-18.1) - a form for certifying payrolls when a standard state or federal certified payroll form is not used. Call 888-4-NYSDOL (888-469-7365) Directory of City Agencies Contact NYC Government City Employees Notify NYC CityStore Stay Connected NYC Mobile Apps Maps Resident Toolkit. File a Complaint. Use our online Consumer Complaint Portal to file a complaint with DFS about insurance companies, vacant properties, student loans, mortgages, bail, banking, lending, and other financial services. The Division of Labor Standards and Statistics may assist employees performing work in Colorado with the recovery of earned compensation not paid in accordance with Colorado Wage and Hour Law. Managed Long–Term Care; External Appeals; Managed Care Bill of Rights; Contact Your Plan. 1) Please fill out the complaint form, answering all of the questions. Labor Bureau Complaint Form … Please select the topic most relevant to your employment complaint. To fill out the New York State COVID-19 ‘New York on PAUSE’ Enforcement Task Force Violation Complaint Form, visit: coronavirus.health.ny.gov. Empleado Queja (PW-4S) - para ser utilizado por un trabajador a presentar un reclamo que él/ella fue mal pagados los salarios vigentes o suplementos en un proyecto de obra pública. U. S. Department of Labor 200 Constitution Ave., N. W. Washington, D. C. 20210. All of New York State has entered a phase of ReOpen NY based on region and industry. Request for Prevailing Wage Schedule - The PW-39 is to be used by contracting agencies and their architects to request an original wage schedule to be included in the project specifications as required by law. Employee Complaint (PW-4) - to be used by a worker to file a claim that he/she was underpaid prevailing wages or supplements on a public work project. This Page... Labor Laws Regarding Fringe Benefit Payments:Section 198c of the New York State Labor Law, Benefits or Wage SupplementsNotice Requirements for Fringe Benefits and Hours. Download the complaint form. Minimum Wage Law Complaints. For each job classification, the individual wage schedule must contain the specific details regarding their 4/10-hour day posting. Fax to 518-472-8502; Mail your complaint to one of our office locations listed below. The below form is for complaints to the OSI. Clearly print or type your answers to each question. complaint form. Locate the correct complaint form in the Resources section of the Department of Labor’s website. For an employer with less than 20 employees, contact the NYS Department of Financial Services. Programs & Tools for Workforce Professionals, Licenses, Permits, Certifications and Registrations, Section 198c of the New York State Labor Law, Benefits or Wage Supplements, Notice Requirements for Fringe Benefits and Hours, U.S.