The City of Fresno’s Wage Protection Program

The City of Fresno’s Wage Protection Program is committed to fostering a fair and equitable working environment within the city, safeguarding the rights and livelihoods of all workers, and promoting fair business practices.

The City of Fresno’s Wage Protection Program is a city-led initiative designed to combat and prevent wage theft, ensuring that workers within the City of Fresno receive the compensation they are legally owed. Led by Councilmember Tyler Maxwell and the City Attorney’s Office, this comprehensive program combines education for both workers and businesses, policy advocacy, and enforcement to address and rectify instances of wage theft across various industries within the city.

For any general questions call 559-621-7500

Fair Wage Recovery Program Form

General Information

Name

First

Last

Person Helping You Fill Out Form (If any)

Mailing Address

City

State/Province

Zip/Postal

Phone Number

Employer Information

Name of Employer or Business

Address Where You Work (or did work)

If the site does not have an address, please list the approximate location. (Ex. Construction sites or field sites).

Manager Name

Add additional responsible individuals

Add Remove

Additional responsible individuals overseeing your work Additional responsible individuals overseeing your work

Manager Email

Manager Phone Number

Type of Business

Did you work within the City of Fresno limits any given week?

Is this the only location at which you performed work for this Employer?

Are you currently employed with the business?

Claim Period – Starting Date

Claim Period – End Date

Type of Complaint (Please Check all that apply)

Minimum Wage

Paid Sick Leave

Retaliation

Notices (minimum wage or accrual of sick leave) not posted or Employer or Employee notice not provided

OtherOther

Hourly Wage / Salary

What is your position or description of duties?

Do you use time cards to track work hours at the business

How were you paid? How were you paid?

Is there is a union contract covering their employment dictating a certain wage?

Do you have any documents such as timekeeping records, copies of paystubs, cancelled checks, sick time policy, etc?

Were your wages always paid on the payday established by your employer?

Other Information to Support Your Claim:

File Upload

Maximum file size: 10MB

Has a claim related to this matter been filed with any other Public Agency?

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How did you hear about our program?

Is this complaint being filed by or in partnership with an organization?

Please list the organization

Signature

Clear

I declare that the above statements are true and correct to the best of my knowledge.

Date

If you are human, leave this field blank.