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Minnesota Department of Labor and Industry

Labor Standards -- Prevailing wage complaint form, required warning

Required Tennessen warning

The Department of Labor and Industry (DLI) is required to notify you of the following matters before you are asked to supply any private or confidential data ("information") about yourself.

  1. You are filing a complaint asking the department to investigate a Minnesota employer's practices related to wages, hours and other conditions of employment of Minnesota employees. The information you supply may be used to determine whether there has been a violation of the prevailing wage law in the workplace, to contact you with follow-up question or to ask you to be a witness if the DLI commissioner finds the employer is violating the law.

  2. You are not required to cooperate with the department's investigation unless DLI subpoenas the information from you. Further, you are not required to incriminate yourself in any possible criminal investigation and you may exercise your constitutional right to refuse to answer any request for information.

  3. The information you supply will be accessible to staff members of the Department of Labor and Industry and may be released to others who have statutory authority to review the information, investigate specific conduct and take appropriate legal action, or a combination thereof, which may include the Office of the Attorney General, law enforcement agencies, courts and other regulatory agencies. The information may also be released by order of a judge.

Complaint form and agreement

  • Complaint form -- By clicking this link, you agree you have read and understand the statement above.
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