Federal Building, Room 575 Boston, MA 02203 329.. 1 New York State Division of Human Rights Complaint Form • Age (if you are at least 18 years of age) • Arrest Record (that was resolved in your favor or adjourned in contemplation of dismissal or youthful offender record or sealed conviction record) • Conviction Record • Creed / Religion (religious belief, practice, or observance) • Disability (a physical or mental condition) Professional Discipline Complaint Form ( 29 KB). 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. For an employer with less than 20 employees, contact the NYS Department of Financial Services. 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. 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. Important Notice to NYS Employers: The Department of Labor issued a directive to remind employers of their obligation to provide information to employees to help them promptly complete the unemployment insurance benefits application. Governor Cuomo has enacted various measures to protect workers during the COVID-19 global pandemic. 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. Thank you for contacting the Office of Labor Policy & Standards (OLPS) within the New York City Department of Consumer Affairs (DCA). Visit the New York State Department of Labor's website at labor.ny.gov OR. instructions for wage claim & minimum wage complaint form WAGECLAIM: For unpaid wages, vacation pay, bonus,commissions or if you believe your employer has made illegal deductions from your pay, proceed to complete both theGeneral Information ANDSectionof 1 this form only.You maysubmit the form … If you have a complaint or need information about professionals other than physicians, physician assistants or specialist assistants, please contact the New York State Education Department. The '4/10s Schedule' applies only to specific job classifications, and to their specific areas/counties, in the Prevailing Wage schedule. You can find links to the U.S. and New York State Department of Labor websites, as well as other agencies that handle employment matters, here. Managed Long–Term Care; External Appeals; Managed Care Bill of Rights; Contact Your Plan. If you would like the Department to contact you will need to fill out the Complaint Form. 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. (Note: There are very few exceptions to this rule. If you are reporting an individual or business for fraud, you may remain anonymous. The Department is the staff arm of the Public Service Commission. 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. 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. Non-Employee Complaint (PW-5) - to be used by any interested person or employee organization to file a complaint alleging the underpayment of prevailing wages or supplements on a public work project where the party filing the complaint is not an underpaid worker. Health Details: INSTRUCTIONS FOR COMPLETING COMPLAINT FORM To file a complaint about a physician (M.D. Here are Your employer should make operational adjustments such as creating policies which encourage employees to work from home when feasible and staggering shifts to reduce workplace density. 28 liberty street, 15. th . Fax to 518-472-8502; Mail your complaint to one of our office locations listed below. 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. 1-866-444-EBSA (3272) What about if I need information about New York State law? The "Request for Wage and Supplement Information (PW-39)" form may be submitted by fax or by mail to request a Prevailing Wage Schedule. The Commission regulates the state's electric, gas, steam, telecommunications, and water utilities. Information about Unemployment Insurance. The Department of Labor processes the following types of employment related complaints. 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. 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. It will help us improve your experience. NYSDOL has incredible resources to help you find a job, research careers, and learn about special programs for jobseekers 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 … You can also check the status of a complaint, or add information, such as Letter of Authorization (PDF), to an existing complaint. If you have a complaint against a NYS Department of Labor program or a service provided by a New York State Career Center, you have two choices. To file a complaint with DOCCS Office of Special Investigations (OSI), please complete the below form. For information on how to obtain an Order from the Department of Health, see the Obtaining an Order for Quarantine fact sheet. Consumer Complaint. 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: Labor Laws Regarding Fringe Benefit Payments: Section 198c of the New York State Labor Law, Benefits or Wage Supplements Notice Requirements for Fringe Benefits and Hours. 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. floor, new york, ny 10005 • tel. 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. Information and guidance from the NYS Department of Health about cleaning, disinfecting, and more. For each job classification, the individual wage schedule must contain the specific details regarding their 4/10-hour day posting. Printable Complaint Form. You can visit any of the offices for the Department of Labor and submit a complaint in person. Was Helpful Labor Bureau Complaint Form … Please select the topic most relevant to your employment complaint. If a question does not apply to … You are being forced to work for a business that is allowed to operate, however: Your employer is not taking proper safety and health precautions (see above), You have particular concerns because you or a family member are part of a vulnerable population (i.e. However, the "Google Translate" option may help you to read it in other languages. Employers may use Form IA 12.3 to provide this information. The Department of Labor does not accept anonymous complaints; you must identify yourself in order to lodge a complaint. Payroll Certification (PW-18.1) - a form for certifying payrolls when a standard state or federal certified payroll form is not used. Your employer must take various safety and health precautions if you are returning to the worksite, including providing you with a face covering, ensuring that social distancing is being followed, making hand washing and sanitizing stations available, and making sure that cleaning and disinfection are occurring frequently. See more information under Resources below. WHD is committed to ensuring that workers in this country are paid properly and for all the hours they work, regardless of immigration status. Public Work Project Poster - Contractors and Subcontractors are required to post a notice at the beginning of the performance of every public work contract on each job site. COVID-19 Employment Issues .. 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. 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. Unpaid wages or other labor-related issue. Needs Improvement. 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). labor bureau. Was Helpful We will be unable to process incomplete entries. Visit the New York State Department of Labor's website at labor.ny.gov OR. Fill out the complaint form, answering all of the questions and sign the form.If possible, type the form. Thanks for the feedback! Clearly print or type your answers to each question. If you are filling out the form on a computer, please print … complaint form. (212) 416-8700 • fax (212) 416-8694 office of the attorney general letitia james state of new york department of law . Email: Labor.Bureau@ag.ny.gov; Fax: 212-416-8694 The U.S. Department of Labor's Wage and Hour Division (WHD) is responsible for administering and enforcing some of the nation's most important worker protection laws. Filing a false complaint is punishable as a Class A Misdemeanor. 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. Will remain confidential if I need information about New York Department of law if you reporting. False complaint is punishable as a Class a Misdemeanor to provide employees with harassment. 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