初次报告或索偿.PDFVIP

LABOR COMMISSIONER, STATE OF CALIFORNIA DEPARTMENT OF INDUSTRIAL RELATIONS – DIVISION OF LABOR STANDARDS ENFORCEMENT Taken by: Taken by: Office: Case #: Taken by: Date filed: SIC #: RCI Complaint: Action: ☐YES ☐NO 1. [你“” ”PW-1“你 “” ] 2. [Retaliation complaint?] ☐, : _________/____