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Wage Claim Form Instructions - Employment Standards Service (ESS)

IMPORTANT: E-MAILED AND FAXED FORMS WILL NOT BE ACCEPTED. ONCE YOU COMPLETE THE FORM, YOU MUST PRINT, SIGN AND MAIL THE FORM TO THE ADDRESS LISTED.

By clicking the download link below, you are affirming that you have read and understood the instructions.

Download the Wage Claim Form (Word)

AVISO: NO SE ACEPTAN LOS FORMULARIOS POR FAX NI CORREO ELECTRONICO. UNA VEZ QUE SE COMPLETA EL FORMULARIO, DEBE IMPRIMIR, FIRMAR Y ENVIAR EL FORMULARIO A LA DIRECCION PROPORCIONADA.

Al hacer clic en el siguiente enlace de descarga, usted está afirmando que ha leído y entendido las instrucciones.

Forma para el reclamo de sueldos (Word)

Mail completed, signed form to:
Department of Labor, Licensing and Regulation
Division of Labor and Industry
Employment Standards Service
1100 N. Eutaw Street - Room 607
Baltimore, MD 21201