Employee Misclassification Tip Form

Misclassification means treating workers as independent contractors when legally they should be employees. If you think an employer is violating the law by misclassifying workers we want to know about it. All allegations, including those filed anonymously, are taken seriously. Be as specific as possible.

* Required field

*Why do you suspect misclassification? Please be specific.


*Misclassifying company's name:

Doing business as (DBA):

Name(s) of business owner(s):

*Company's business address or PO Box:

Company's other locations or worksites:

Company's telephone (if known):

How did this come to your attention? Please be specific.


When are the worker(s) in question typically on the worksite?


How are the workers paid?
Payroll check Cash Personal check Combination of the above Other

Are the workers working more than forty (40) hours in a week?
Yes
No

If Yes, are they paid time-and-a-half for overtime work?
Yes
No

Are wages paid when due?
Yes
No

Are workers paid under the table?
Yes
No

Are unauthorized deductions being taken out of wages?
Yes
No

Are workers receiving a pay stub or record of deductions?
Yes
No

Company's Federal Employer ID number or Social Security number (appears on W-2 or 1099 form):

Is there anything else we should know?


Your contact information (you may leave blank to send form anonymously):

Full Name:
Mailing Address:
City:
State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Phone:
Email:

*Enter any five-digit number to submit this form:

If you prefer to mail this form rather than send it electronically, please print it and send it to:

Employee Misclassification Tips
47 State House Station
Augusta, ME 04333-0047