"Child Labor Law Complaint Form" - Illinois

Child Labor Law Complaint Form is a legal document that was released by the Illinois Department of Labor - a government authority operating within Illinois.

Form Details:

  • The latest edition currently provided by the Illinois Department of Labor;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Illinois Department of Labor.

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CHILD LABOR LAW
Illinois Department Of Labor
Fair Labor Standards Division
160 North Lasalle Street, Ste 1300
COMPLAINT FORM
Chicago, Illinois 60601
800-645-5784
DOL.ChildLaborLaw@illinois.gov
http://labor.illinois.gov/
Business Information
Name of Establishment
Owner/Contact Name
Street Address
City
State
ZIP Code
County
Business Telephone Number
Type of Business
Minor Information
Name of Minor
Age of Minor
Hours Working
Unknown
What Type of Worked Was Being Performed?
Does Minor Have A Work Permit?
When Was Minor Observed?
Complainant Information
Name of Complainant
Phone Number
Email Address
BY ACCEPTING AND SUBMITTING THIS FORM, THE COMPLAINANT AFFIRMS AND CERTIFIES THAT ALL INFORMATION PROVIDED AND THE
STATEMENTS MADE HERIN ARE TRUE, CORRECT, AND COMPLETE.
Use additional sheets if necessary and attach copies of all supporting
documents and other evidence.
File
CO
Type
Date Received
Signature
Date
ILLINOIS DEPARTMENT OF LABOR
HTTP://LABOR.ILLINOIS.GOV/
CHILD LABOR LAW
Illinois Department Of Labor
Fair Labor Standards Division
160 North Lasalle Street, Ste 1300
COMPLAINT FORM
Chicago, Illinois 60601
800-645-5784
DOL.ChildLaborLaw@illinois.gov
http://labor.illinois.gov/
Business Information
Name of Establishment
Owner/Contact Name
Street Address
City
State
ZIP Code
County
Business Telephone Number
Type of Business
Minor Information
Name of Minor
Age of Minor
Hours Working
Unknown
What Type of Worked Was Being Performed?
Does Minor Have A Work Permit?
When Was Minor Observed?
Complainant Information
Name of Complainant
Phone Number
Email Address
BY ACCEPTING AND SUBMITTING THIS FORM, THE COMPLAINANT AFFIRMS AND CERTIFIES THAT ALL INFORMATION PROVIDED AND THE
STATEMENTS MADE HERIN ARE TRUE, CORRECT, AND COMPLETE.
Use additional sheets if necessary and attach copies of all supporting
documents and other evidence.
File
CO
Type
Date Received
Signature
Date
ILLINOIS DEPARTMENT OF LABOR
HTTP://LABOR.ILLINOIS.GOV/