Fill Dlse Form 55 Pdf, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Employees claiming violations of California’s meal and rest period laws should complete DLSE Form They can then detail the number of. overtime hours worked) or meal and rest period violations you should use this form: DLSE (Rev. 10/03). Here’s a sample Sample DLSE

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In addition, Labor Code sections and prohibit employers from charging employees for anything that benefits the employer or anything that could be considered an obligation of the employer. Upon filing of the order, decision, or award, the Labor Commissioner shall serve a copy of the decision personally, by first-class mail, or in the manner xlse in Section Please also check other links to information provided on this site, such as Frequently Asked Questions and Publications which contain information sheets and brochures on many subject matters that are often the topic of questions, and the How To File a Claim sections.

No other documents are required from the parties. Instead, your assigned Deputy Labor Commissioner may contact you by phone to discuss the issues identified in your claim.

The judgment so entered has the same force and effect as, and is subject to all of the provisions of law relating to, a judgment in a civil action, and may be enforced dkse the same manner as any other judgment of the court in which it is entered. Wages paid by check issued with insufficient funds.

Although formal rules of evidence do not apply, the hearing officer will only consider evidence that is relevant to the claim or a defense. California employment and labor laws are dlsse, and individuals seeking specific advice regarding their situation may want to consider obtaining legal representation or discuss their issues with a representative at a DLSE office.


Through the wage claim process, the DLSE has the power to investigate and hold a hearing on employee complaints about violations of these laws and regulations. The notice will describe the claim and will direct the employee and fomr to attend the conference at a specified date, time, and place.

We recommend that you access basic information provided in our general information lines. An undertaking is cash deposit or an appeal bond which is issued by a licensed surety.

In order to offer you as much information as possible, the DLSE website contains several sources for assistance. This form is however not suitable for filing a public works project claim and you need PW-1 form in such case. A court reporter is typically present. If DLSE decides that a hearing may be appropriate, it will often, but not always, hold a settlement conference before a hearing is scheduled.

You must type or print all particulars and mark your choices in the boxes for legibility.

Free California Labor Commission Initial Report (DLSE Form 1) | PDF Template | Form Download

If the employee does not appear at the settlement conference, the claim will probably be dismissed. If you need help filling out the individual entries in the form, read these instructions. It is often a good idea to speak with a qualified employment lawyer before deciding how to proceed. Parties are d,se put under oath and are not expected to present witnesses. Instructions for completing the form are available in several languages.

If less than 72 hours of notice was provided, the employer has 72 hours after last day of work to make final payment.


The DLSE can decide any question that is within its jurisdiction. Take a Stand Schedule a free consultation with one of our employment attorneys today.

Continue to Part 4 by providing inputs like date of hire in 25, select the right status in 26, and specify the fofm if you select others, select the right answers about the notice in 27a and 27b. True independent contractors must typically bring their action in civil or small claims court. In addition to federal protections, employees in California are protected by the Labor Code and regulations written by state administrative agencies. Within thirty days, the DLSE will dlsf what necessary action to take.

Free California Labor Commission Initial Report (DLSE Form 1) – PDF Form Download

At the same time, that provision discourages employers from appealing. An employee is successful if the court awards an amount greater than zero. If either party is dissatisfied with the order, the matter may be appealed to the superior court.

For example, California has adopted a higher minimum wage than is required by federal law. Dlsee hearing officer is likely to consider documents to be reliable if they are provided by the employer in the ordinary course of business.

The court has discretion to decide the entire wage dispute, including related wage claims that were not raised in the DLSE proceeding and those over which the DLSE has no jurisdiction.

The rules of procedure and evidence that apply to court proceedings generally do not govern a Berman hearing.

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