Gather these before you file
A printable from Wage Claim. Fill it in by hand. Nothing you write is collected by this website.
Gather these before you file
About your employer
- Business name, exactly as it appears on a pay stub, check, sign or business license
- Business address and the address where you worked, if different
- Owner's name and supervisor's name, with any phone number or email
- License plate of the person who paid you, if you do not know the business name
- Whether the business is still open
About your job
- The date you started, and the date you quit or were let go
- Whether you gave 72 hours' notice if you quit
- Your pay rate, and any higher rate you were promised (out loud or in writing)
- How you were paid: cash, check, deposit or app
- Any offer letter, hiring papers, written rules or union contract
Proof of your hours and pay (copies only, keep the originals)
- Pay stubs, checks, and any check that bounced
- Bank deposits or payment app screenshots
- Time cards, schedules or photos of them
- Your own notes: each day you worked, start and end time, breaks you missed
- Texts, emails or messages about hours, pay, being fired, or asking to be paid
What you are owed (your best guess is fine)
- Unpaid hours and the dates
- Unpaid overtime
- Missed meal or rest breaks
- Work costs you paid, like tools or gas, and money taken from your pay
- Sick leave, vacation pay or commissions owed
- Date you got your final paycheck, if it was late
Before you file
- I know which language I want for an interpreter
- I have a phone number, email or mailing address where the office can reach me
- I checked my deadline (most claims: 3 years back)
- I made copies, and my originals are safe
You can file even if you cannot check every box. Do not write your immigration status on this sheet.
From Wage Claim. Facts checked October 21, 2026. Free information, not legal or medical advice.