Joint Task Force on 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. This information will be shared with Task Force partner agencies for further action. 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?

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:
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:

Task Force on Employee Misclassification
47 State House Station
Augusta, ME 04333-0047

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