---
title: Wage Theft Complaint Form Template for Hourly Employees | Paperform
description: Report unpaid wages, clock-in discrepancies, break time violations, and tip pooling issues. Secure form template for documenting wage theft and coordinating Department of Labor filings.
url: "https://paperform.co/templates/wage-theft-complaint-form"
type: static
generatedAt: "2026-03-28T00:45:32.920Z"
---

[← Back to free form templates](/templates/)    ![Wage Theft Complaint Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/wage-theft-complaint-form.png)
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### Protect Your Rights: Report Wage Theft with Confidence

Wage theft affects millions of hourly workers every year, from missed clock-in times to unpaid breaks and tip pooling violations. If you're facing wage discrepancies at work, this **Wage Theft Complaint Form** gives you a clear, organized way to document the issue and take action.

Built for hourly employees, restaurant workers, retail staff, and anyone experiencing paycheck problems, this template helps you gather the details you need—dates, times, amounts owed, witness information and supporting evidence—all in one place. Whether you're reporting internally to HR or preparing to file with the Department of Labor, having everything documented properly is critical.

#### Why Paperform for Wage Complaints?

Paperform makes it easy to collect sensitive information securely and professionally. The form includes conditional logic to surface the right questions based on your complaint type, calculation fields to help you estimate wages owed, and file upload options so you can attach pay stubs, photos of time sheets, or communication records.

Once submitted, responses can automatically route to HR, legal counsel, or employee advocates depending on your workflow. You can also use **Stepper** (stepper.io) to create multi-step processes—like triggering follow-up emails, logging complaints in case management tools, or creating timelines for Department of Labor coordination.

This template is designed for **HR teams, labor advocates, employment lawyers, and union representatives** who need a fast, compliant way to intake wage complaints and support workers through the resolution process. With SOC 2 compliance and data security built in, Paperform ensures sensitive employee information stays protected throughout the process.

Stop wage theft in its tracks. Use this form to give employees a voice and take the first step toward fair pay.
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