Forms

Fillable Forms and Resources

  • This site supports Fillable PDF forms and can be found by searching by the state form number (SFN), title or agency that owns the form.
  • Definitions:
    • Internal Forms: Forms used by customers internal to North Dakota State Government.
    • Public Forms: Forms used by the general public or entities external to North Dakota State Government
Important: These forms MUST be downloaded to function properly (may contain automatic calculations, field validations, tab order, etc.). Using the PDF viewer within the browser disables this functionality.

Department of Labor - Public Form(s)

SFNTitleSizeDateFillable
4598 EMPLOYMENT AND AGE CERTIFICATE 753 kb 07/28/2020 Y
14543 EQUAL EMPLOYMENT OPPORTUNITY QUESTIONNAIRE 1327 kb 11/08/2021 Y
17081 CLAIM FOR WAGES 790 kb 11/20/2023 Y
52114 COMPLAINT INQUIRY 911 kb 11/29/2023 Y
52229 HOUSING DISCRIMINATION INTAKE QUESTIONNAIRE 830 kb 12/02/2022 Y
52974 HUMAN RIGHTS DISCRIMINATION INTAKE QUESTIONNAIRE 751 kb 11/08/2021 Y
54049 EMPLOYMENT RETALIATION (WHISTLEBLOWER) QUESTIONNAIRE/AFFIDAV 714 kb 11/08/2021 Y
58394 INDEPENDENT CONTRACTOR VERIFICATION APPLICATION 1445 kb 12/02/2022 Y