The Board of License Commissioners and the Town Human Rights Director shall be authorized to establish regulations or administrative procedures and to take any and all actions reasonable and necessary to further the purposes of this Bylaw or to obtain compliance with this Bylaw.
The Town Human Rights Director and the Police Department shall have the power to investigate violations of Section D of this Bylaw, and, to the extent consistent with law, with Section E and F of this Bylaw, pursuant to their own initiative or upon receipt of a report or complaint filed by an Employee or any other person.
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Against whom the Wage & Tip Theft Claim is filed
(Cash, Check, Direct Deposit, Other)
Please indicate and explain whether pay was hourly, weekly, or other.
Please explain in detail and include the total amount due to you and why you believe it is owed. Failure to provide detailed information in the space provided above may make it impossible to pursue this claim on your behalf.
If Yes, please explain.
If yes, please explain
Once we receive your Wage Complaint form, we will log it in and assign it to an Investigator from the Town.
NOTE: I hereby certify, by typing my name below, that to the best of my knowledge and belief, this is a true statement of facts relating to the above claim of unpaid wages.
Type your full name
A representative from the Town of Amherst will contact you for any further information.
Please notify the Town by calling (413) 259-3009 in the event that you are paid before the Town contacts you.
Auxiliary aids and services are available upon request to individuals with disabilities.
Equal Opportunity Employer/Program
This field is not part of the form submission.
* indicates a required field