Form F700-129-000 "Prevailing Wage Interested Party Complaint" - Washington

What Is Form F700-129-000?

This is a legal form that was released by the Washington State Department of Labor and Industries - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2021;
  • The latest edition provided by the Washington State Department of Labor and Industries;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form F700-129-000 by clicking the link below or browse more documents and templates provided by the Washington State Department of Labor and Industries.

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Download Form F700-129-000 "Prevailing Wage Interested Party Complaint" - Washington

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Prevailing Wage Interested
Party Complaint
Instructions:
Prevailing wage complaints L&I accepts:
Projects subject to provisions of Washington State Public Works Act (RCW 39.12). Complaints may be filed
when there is a violation of state law.
Complaints must be within 60 days of the date the public agency accepted the project as complete.
Workers who need to file a prevailing wage complaint can utilize a Worker Complaint Form (F700-146-000).
This form may be obtained at: www.Lni.wa.gov/go/F700-146-000.
L&I cannot accept these types of complaints:
The Department cannot take action on disputes related to employment agreements in excess of what the
law provides (i.e. collective bargaining agreements) as the Department has no enforcement authority for
such agreements unless there is a violation of state statutes.
Work performed outside of the State of Washington.
How to file an Interested Party Complaint:
Complete the entire form and sign it. It is your responsibility to substantiate the validity of the complaint. At
the time of filing, you must supply documents or records that support the complaint. If you cannot provide
these documents, then please explain why the documents and records cannot be supplied.
Please provide a list of names, addresses, and phone numbers of any workers, individuals, agencies, or
interested parties who can verify information concerning the alleged violation(s) or have access to
documentation to support your allegation(s). The following is a list of useful documents:
Wage transcriptions /
Written wage agreement
Shift schedules
computation sheets
Payroll check stubs
Employer-maintained time
Worker-maintained time
records
records
Attendance rosters
Employee handbook
Worker interviews/statements
Copies of bad checks
Copies of any correspondence
A separate complaint form must be submitted for each project in which you have a substantiated violation.
Determine if Statements of Intent to Pay Prevailing Wage (Intent) or Affidavit of Wages Paid (Affidavit)
have been filed and indicate the number(s) on the form.
o
If you cannot locate form(s) on file, contact alleged violated/prime contractor/awarding agency for
information as to filing status and, if filed, obtain copies.
Please provide all requested dates such as work start dates, expected completion date, or completion date,
and acceptance date or project acceptance date. Additionally, if accepted, state the manner of acceptance.
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
Prevailing Wage Interested
Party Complaint
Instructions:
Prevailing wage complaints L&I accepts:
Projects subject to provisions of Washington State Public Works Act (RCW 39.12). Complaints may be filed
when there is a violation of state law.
Complaints must be within 60 days of the date the public agency accepted the project as complete.
Workers who need to file a prevailing wage complaint can utilize a Worker Complaint Form (F700-146-000).
This form may be obtained at: www.Lni.wa.gov/go/F700-146-000.
L&I cannot accept these types of complaints:
The Department cannot take action on disputes related to employment agreements in excess of what the
law provides (i.e. collective bargaining agreements) as the Department has no enforcement authority for
such agreements unless there is a violation of state statutes.
Work performed outside of the State of Washington.
How to file an Interested Party Complaint:
Complete the entire form and sign it. It is your responsibility to substantiate the validity of the complaint. At
the time of filing, you must supply documents or records that support the complaint. If you cannot provide
these documents, then please explain why the documents and records cannot be supplied.
Please provide a list of names, addresses, and phone numbers of any workers, individuals, agencies, or
interested parties who can verify information concerning the alleged violation(s) or have access to
documentation to support your allegation(s). The following is a list of useful documents:
Wage transcriptions /
Written wage agreement
Shift schedules
computation sheets
Payroll check stubs
Employer-maintained time
Worker-maintained time
records
records
Attendance rosters
Employee handbook
Worker interviews/statements
Copies of bad checks
Copies of any correspondence
A separate complaint form must be submitted for each project in which you have a substantiated violation.
Determine if Statements of Intent to Pay Prevailing Wage (Intent) or Affidavit of Wages Paid (Affidavit)
have been filed and indicate the number(s) on the form.
o
If you cannot locate form(s) on file, contact alleged violated/prime contractor/awarding agency for
information as to filing status and, if filed, obtain copies.
Please provide all requested dates such as work start dates, expected completion date, or completion date,
and acceptance date or project acceptance date. Additionally, if accepted, state the manner of acceptance.
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
Suggested Investigative Procedures:
Contact the prime contractor to advise them of the specifics of the complaint. Ask them for assistance in
achieving compliance with the alleged violator.
Obtain the following information and copies of documentation, if available:
A contact person calls/correspondence should be addressed to.
The current status of the project and when completion and/or acceptance are anticipated.
Verify bid due date/contract award date.
A copy of the contract with the subcontractor and/or awarding agency.
Awarding agency information such as name, address, and contact person.
If certified payroll records and 4/10 work agreements are on file.
If the project manager/inspector kept a daily/weekly log of manpower reports on the alleged violator.
The Intent and/or Affidavit identification number of the violator.
Contact the awarding agency to advise them of the specifics of the complaint. Ask them for assistance in
achieving compliance with the alleged violator.
Obtain the following information and copies of documentation, if available:
The division that is responsible for the project.
A contact person calls/correspondence should be addressed to.
The current status of the project and when completion and/or acceptance are anticipated.
Verify bid due date/contract award date.
A copy of the contract with the subcontractor and/or awarding agency.
Awarding agency information such as name, address, and contact person.
If certified payroll records and 4/10 work agreements are on file.
If the project manager/inspector kept a daily/weekly log of manpower reports on the alleged violator.
Where liens are filed, lien information, lien custodians, and if any other liens have been filed.
If your prevailing wage complaint is accepted by L&I, we:
Assign an Industrial Relations Agent to investigate your complaint.
Prevailing wage investigations generally take 180 days to complete. Complicated investigations may take
longer. L&I will contact you when we complete the investigation and make a decision regarding your
complaint.
Mail the completed and signed forms to:
Department of Labor & Industries
Prevailing Wage Program
PO Box 44540
Olympia WA 98504-4540
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
Prevailing Wage Interested
Party Complaint
For L&I Use Only
For L&I Use Only
L&I Date Stamp:
UBI: (Use this to find employer)
PWCT Investigation ID:
Alleged Violator Information / Per Project
Name of Company
Name of Company Owner, Manager, or Supervisor
Company UBI
Company Contractor Registration Number (if registered)
Company Mailing Address
City
State
Zip Code
Company Phone
Company Cell Phone
Company Email Address
Ownership
Sole Proprietor
Corporation
Partnership
Has the company filed for bankruptcy?
Is the company still in business?
Yes
No
Don’t Know
Yes
No
Don’t Know
Date work started by alleged violator
Last date worked by alleged violator
Has a Statement of Intent to Pay Prevailing Wage been
Has an Affidavit of Wages Paid been filed?
filed?
Yes
No
If “Yes”, #___________________
Yes
No
If “Yes”, #___________________
Did you obtain a copy of the alleged violator’s contract for
Are there certified payroll records for the project?
the project?
Yes
No
If “Yes”, attach a copy.
Yes
No
If “Yes”, attach a copy.
Does the firm have signed 4/10 work agreements?
Yes
No
If “Yes”, attach a copy.
Interested Party Information
Organization Name
Name of Complainant
Title
Mailing Address
City
State
Zip Code
Phone
Cell Phone
Email Address
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
Alleged Complaint Information
Type(s) of Complaint: (You may check more than one box)
Non-Payment of Prevailing Wage (Employer did not pay any prevailing wage rate(s) to employees.)
Incorrect Scope of Work (Misclassification – employer paid me at the wrong prevailing wage rate.)
Incorrect Hourly Rate (Employer used correct scope of work but paid less than the required prevailing
wage rate(s).)
Unpaid Overtime (Overtime is unpaid and/or calculated at the wrong rate.)
Fringe (Usual) Benefits (Employer took a fringe credit but benefits were not provided and/or not bona
fide and/or credit calculated wrong.)
Apprenticeship Prevailing Wage Rate Violation
Travel Time Prevailing Wage Rate Violations
False or Failure to File Intent
False or Failure to File Affidavit
False or Failure to File Certified Payroll
Nature of violation(s): Statement explaining the violation(s); cover classification(s)/regulations involved.
Statement of actions taken by complainant: Overview of investigation (i.e. visited job site, interviewed workers,
contacted AA/prime).
Statement outlining evidence/documentation/information gathered to substantiate the alleged violation.
Wages You Believe are Owed to the Workers
Have you performed an audit to ascertain the amount of wages you believe are due?
Yes
No
If “Yes”, attach a copy of your audit and documentation then provide the following:
Gross Amount Owed
Number of Workers
$
If known, how often the alleged violator pay workers?
Monthly
Bi-Monthly
Weekly
Bi-Weekly
Daily
Other: ___________________________
If known, what benefits does the alleged violator provide?
Medical
Dental
Vacation
Pension
Holiday
Other:______________________________
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
Public Works Project Information
Project Name
Project Site Address
City
State
Zip Code
Contract Number
Contractor Amount (if known)
$
Prime Contractor Phone Number
Job Classification (type of work performed)
Hourly Rate Paid
$
Bid Due Date
Award Date
Date Work Started
Expected Completion Date
(if not completed)
If not accepted, anticipated date
Manner of acceptance (i.e. letter, minutes, etc.)
Description of Project
Awarding Agency
Awarding Agency Contact / Title
Awarding Agency Address
City
State
Zip Code
Awarding Agency Phone
Awarding Agency Fax
Awarding Agency Email Address (if known)
Prime Contractor (if not violator)
Prime Contractor Contact / Title
Prime Contractor UBI
Prime Contractor Registration Number (if registered)
Prime Contractor Address
City
State
Zip Code
Prime Contractor Phone
Prime Contractor Cell Phone
Prime Contractor Email Address (if known)
Has the Prime Contractor Filed an Intent?
Has Prime Contractor Filed an Affidavit?
Yes
No
If “Yes”, #___________________
Yes
No
If “Yes”, #___________________
Interested Party Signature (Required)
Signature
Date
F700-129-000 Prevailing Wage Interested Party Complaint 11-2021
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