Wage Complaint Form

This form is used to file complaints under the Pennsylvania Wage Payment and Collection Law, Act of 1961, P.L. 637, No. 329.

 

In an effort to expedite your complaint, the Bureau of Labor Law Compliance encourages you to take advantage of the online or electronic submission of the complaint form.

 

If you choose instead to return a hardcopy version of this form (manual submission), all pages must be completed. Additional information that may be needed and applicable to the specific Law under which your compliant is made may be attached.

The Online Version of the form is designed to work best with Microsoft Internet Explorer 5.0 or later. You can download the latest version of Microsoft Internet Explorer by clicking the "Get Internet Explorer" button to the right: An Online Spanish Version of the form is now available.
If you have additional information including attachments, they can be faxed or mailed. Please refer to the instructions provided below under "Manual Submission."

Download this PDF Version if you would like to print out the form and submit it by fax to 717-787-0517, or by mail to:

 

Bureau of Labor Law Compliance

1301 Labor and Industry Building

651 Boas Street

Harrisburg, PA 17121

 

The Wage Complaint and Collection Law claim form has been translated into Spanish. To download a printable version of the Formulario De Reclamo De Sueldo, please click here.

Once your claim as been accepted, it will be assigned to one of the following District Offices based on the county of the employer.

 

Altoona District Office Suite 200, 2nd Floor 1130, 12th Avenue Altoona, PA 16601 Toll Free: 1-877-792-8198

Harrisburg District Office 1302-A Labor & Industry Bldg 651 Boas Street Harrisburg, PA 17121 Telephone: (717) 705-5969

Philadelphia District Office 110 North 8th Street Suite 203 Philadelphia, PA 19130-4064 Telephone: (215) 560-1858

Pittsburgh District Office  301 5th Avenue  Room 3300  Pittsburgh, PA 15222 Telephone: (412) 565-5300

Scranton District Office Scranton State Office Bldg 100 Lackawanna Ave -Rm 201B Scranton, PA 18503 Telephone: (570) 963-4577

 

You will need the Adobe Acrobat Reader to successfully view/print some information. This software is provided free of charge and you may download the latest version by clicking on the 'Get Acrobat Reader' button.