VESSA Complaint Form 2026

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The document outlines the procedures for filing a complaint under the Victims' Economic Security and Safety Act (VESSA) in Illinois. It includes a Complainant Contact Sheet and a VESSA Complaint Form that must be completed and submitted to the Illinois Department of Labor, along with supporting documents. The instructions emphasize the importance of providing complete information to avoid delays in processing, as well as notifying the Department of any changes in contact information. The document also details employee rights regarding VESSA leave, including confidentiality, health benefits, and job restoration.

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Click ‘Get Form’ to open the VESSA Complaint Form in the editor.
Begin by filling out the Complainant Contact Sheet. Enter your first and last name, home phone number, address, city, state, zip code, work phone number, and email. Ensure all information is accurate.
Provide the name and contact number of someone who can reach you if necessary. This is important for maintaining communication throughout the process.
Proceed to the VESSA Complaint Form section. Fill in employer information including employer name, address, email, and contact details.
Complete the employee information section with your details again. Then answer questions regarding your terms of employment and any relevant complaints related to VESSA leave.
Review all sections carefully. Attach any required supporting documents as specified in the instructions before submitting your form.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I report an employer in Illinois?

For more information or to file a complaint about an employers practices, please call the Workplace Rights Hotline at 1-844-740-5076 or use the complaint form.

How do I file a complaint against my employer in Illinois?

You may submit your complaint online or visit a Department of Labor office to submit a complaint in person. To access the system, claimants will first need to create an Illinois Public ID account.

Who is eligible for vessa leave in Illinois?

The Victims Economic Security and Safety Act (VESSA) provides an employee who is a victim of domestic or sexual violence, or who has a family or household member who is a victim of domestic or sexual violence, with up to twelve (12) weeks of unpaid leave per any twelve (12) month period to address issues arising

What are my rights as an employee in Illinois?

Illinois has many laws that provide greater protections to employees than federal law, including pregnancy accommodation rights, a higher minimum wage and additional leave requirements, but generally follows federal law with respect to topics such as overtime pay, jury duty leave and occupational safety and health.

Where can I file a complaint about an employer?

If you have questions or concerns, you can call us at 1-866-487-9243 or visit dol.gov/agencies/whd. You will be directed to the nearest WHD office for assistance. There are WHD offices throughout the country with trained professionals to help you.

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What does vessa cover?

Employees may take VESSA leave to: Seek medical attention for, or recovery from, physical or psychological injuries caused by domestic or sexual violence to the employee or employees family or household member; Obtain victim services for the employee or employees family or household member; 3.

What qualifies as a hostile work environment in Illinois?

A hostile work environment is one in which an employee is subjected to unwelcome (and, of course, discriminatory) conduct or comments, which are directed at the employee because of his or her race, color, religion, national origin, or sex.

VESSA Complaint Form 2026

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