LC 2810.5 Notice (Revised 11 2014)-2025

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  1. Click ‘Get Form’ to open the LC 2810.5 Notice in our editor.
  2. Begin by entering the employee's name and start date in the designated fields under 'EMPLOYEE'.
  3. Next, fill in the employer's legal name and indicate if they are a staffing agency by checking 'Yes' or 'No'.
  4. Provide any other names the hiring employer is doing business as, along with their physical and mailing addresses.
  5. In the 'WAGE INFORMATION' section, specify the rate(s) of pay and check the appropriate box for how it is calculated.
  6. Complete details regarding paid sick leave entitlements by selecting the applicable box that describes your situation.
  7. Finally, ensure both employer and employee sign and date the acknowledgment of receipt at the bottom of the form.

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Wage theft is now a crime when an employer intentionally fails to pay an employee wages. Depending on how much an employer has stolen from employees, that employer can be charged with a felony and sentenced up to 20 years in prison and fined up to $100,000 if convicted.
As per Assembly Bill 1003 passed in 2021, instances of wage theft exceeding $950 are prosecuted as grand theft. Victims can report such cases to law enforcement authorities. Wage theft happens any time an employer fails to give an employee the compensation that theyre legally owed for their work.
The Wage Theft Prevention Act (WTPA) took effect on April 9, 2011. The law requires employers to give written notice of wage rates to each new hire.
Assembly Bill 469 (Chapter 655, Statutes of 2011), also known as the Wage Theft Protection Act of 2011, went into effect on January 1, 2012, and adds section 2810.5 to the Labor Code. The act requires that all employers provide each employee with a written notice containing specified information at the time of hire.
Yes, in California, wage theft can lead to criminal charges, which may include jail time. This stems from sweeping changes in state laws designed to down on employers who exploit workers.
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