Wage Complaint Form

Department of Labor & Industry - Bureau of Labor Law Compliance - Wage Payment Complaint

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.

Online Submissions:

1.  The online form must be completed within 20 minutes, or the system will timeout. Please ensure you have your answers ready before starting the application.
2.  Questions under the “Complaint Details” section that require a dollar amount may only include numbers and periods. Commas or dollar signs are not accepted and may cause form submission errors.
3.  If you have additional information including attachments, they can be faxed, mailed, or emailed to the investigator assigned to your complaint. Please use the contact information provided under Manual Submissions below.
   
   ONLINE COMPLAINT FORM
    

Manual Submission

Download this PDF Version if you would like to print out the form and submit it

• by fax to 717-787-0517,
• by email to RA-LI-SLMR-LLC@pa.gov 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. Click Here to download a printable version of the form RECLAMACIÓN SALARIAL.
 

District Offices

Once your claim as been accepted, it will be assigned to one of the following District Offices based on the county of the employer. Click Here to view counties served by each District Office.

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

Harrisburg District Office
1302 Labor & Industry Bldg
651 Boas Street
Harrisburg, PA 17121
Telephone: (717) 705-5969 or (800) 932-0665

Philadelphia District Office
110 North 8th Street
Suite 203
Philadelphia, PA 19130-4064
Telephone: (215) 560-1858 or (877) 817-9497

Pittsburgh District Office 
301 5th Avenue 
Suite 350
Pittsburgh, PA 15222
Telephone: (412) 565-5300 or (877) 504-8354

Scranton District Office
201 B State Office Building
100 Lackawanna Ave.
Scranton, PA 18503
Telephone: (570) 963-4577 or (877) 214-3962