NON—PAYMENT OF WAGES COMPLAINT FORM do not fax or …
Bureau of Public Work 1. Your name and address ┌ ┐ └ ┘ Claim for Wage and/or Supplement Underpayment on a Public Work Project Labor Law Section 220 Answer all questions -Type or print - We will return incomplete claims - District Offices on back - 2. Social Security Number (optional) 3.Phone numbers & e-mail address ................
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