Forms

  • For best results, use the current version of Adobe Acrobat Reader.
  • Forms that are marked with a Y in the Fill column can be completed on-line through Adobe Acrobat Reader.
  • Users with Adobe 6.0 and above will need to change a setting before completing the forms so that the tabbing order works correctly. Open Adobe Acrobat, go to the tab on top labeled Edit, go to Preferences, and Accessibility. Make sure the box Use document structure for tab order when no explicit tab order is specified is not checked.
  • Select the appropriate form and click in the first text box to be completed.
  • Enter the required information and tab over or click on the next text box to continue completing the form.
  • Dates must be entered in the following format: mm/dd/yyyy.
  • When printing a form from Adobe Acrobat, the Page Scaling needs to be set to None. This can be found under File, Print, Page Handling Section. There will be a section called Page Scaling with drop down options. Please select None from those options. If any of the other options are selected, additional white space will be added to the margins of the form and the form will shrink.

Department of Labor - Public Form(s)

SFNTitleSizeDateFillable
4598 Employment and Age Certificate 478 kb 09/19/2013
Y
14543 Equal Employment Opportunity Questionnaire 858 kb 09/19/2013
Y
17081 Claim for Wages 729 kb 04/01/2014
Y
52114 Complaint Inquiry 403 kb 09/19/2013
Y
52229 Housing Discrimination Intake Questionnaire 1067 kb 09/19/2013
Y
52974 Human Rights Discrimination Intake Questionnaire 716 kb 10/18/2013
Y
54049 Employment Retaliation (Whistleblower) Questionnaire 472 kb 09/19/2013
Y
58394 Independent Contractor Verification Application 1488 kb 10/21/2013
Y