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Wage Claim Form - Industrial Commission of Arizona 2025

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The document is a wage claim form from the Industrial Commission of Arizona, designed for individuals to report unpaid wages under A.R.S. §23-356. It collects personal information, employment details, and specifics about the unpaid wages, including payment methods and reasons for non-payment. The form emphasizes the importance of completeness to avoid delays in processing and includes a certification statement for the claimant.

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How to file a wage claim in AZ?

The completed Unpaid Wage Claim Form may be submitted (1) Electronically by completing the Sign and Submit Form below; (2) by e-mail to Laborinv@azica.gov; (3) by Fax to (602)-542-8097; or (4) by U.S. Mail to Labor Department, P.O. Box 19070, Phoenix, AZ 85005-9070.

What does the Arizona Labor Board do?

Serving the workers and employers of Arizona by conducting thorough, expedient, and impartial investigations related to wage, earned paid sick time, minimum wage and youth labor.

Where can I file a complaint against my employer in Arizona?

To file a complaint, you may complete one of the following two options: File a complaint online. or. Fill out the Complaint/Apparent Violation Form . Once the form is completed, you may submit it by any way below: Email it to DERSazcomplaints@azdes.gov.

What is the hostile work environment law in Arizona?

A hostile work environment claim arises from unwanted, offensive conduct that is based on protected characteristics like religion, sexual orientation, race, color, or disability. In addition, one of the following must be true: Enduring the harassment becomes a condition of staying at your job, or.

Can you sue your employer in AZ?

If you are injured on the job and discover that your employer doesnt have workers compensation insurance or doesnt have sufficient coverage, then you may be able to sue in civil court for medical costs, lost wages and pain and suffering.

unpaid wage claim form

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How long can an employer not pay you in Arizona?

Proposition 206, the Fair Wages and Healthy Families Act (theAct), gives the Industrial Commission of Arizona authority to enforce and implement the Acts minimum wage and earned paid sick time requirements.

Wage Claim Form - Industrial Commission of Arizona 2025

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How long can an employer not pay you in Arizona?

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