Equal pay notes
A printable from Equal pay at work. Fill it in by hand. Nothing you write is collected by this website.
Equal pay notes
My job
- Job title and start date
- My pay rate now, and past raises with dates
- My real daily tasks, skills needed, and hazards
Each coworker who earns more
- Name and job title
- What they actually do, compared with me
- Their pay, if known, and how I know it
- Their sex, race or ethnicity, if that is part of my claim
Papers I have (copies only)
- Pay stubs and offer letter
- Job postings showing the pay scale
- Reviews, schedules, texts or emails about pay
- My written request for the pay scale for my job, with the date
Dates
- Date I first learned of the gap
- Date of my last unequal paycheck
- Date of any punishment after I asked about pay
Do not write your immigration status on this sheet.
From Equal pay at work. Facts checked October 21, 2026. Free information, not legal or medical advice.