Maryland Department of Labor, Licensing & Regulation
Department of Business & Industry . OFFICE OF THE LABOR COMMISSIONER OFFICE USE ONLY. Claim # 675 FAIRVIEW DRIVE, SUITE 226. CARSON CITY, NV 89701 (775) 687-4850 555 EAST WASHINGTON AVENUE, # 4100. LAS VEGAS, NEVADA 89101 (702) 486-2650 CLAIM FOR WAGES Rcv. by Inv. Assign EMPLOYEE INFORMATION EMPLOYER INFORMATION 1. Name: (Include copy … ................
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