Before submitting this complaint:
By typing my name below I am entering it as my electronic signature and agreeing to the following:
· I HEREBY CERTIFY that the statements herein, including attachments, are true and accurate to the best of my knowledge and belief.
· I UNDERSTAND that acceptance of this complaint by the Illinois Department of Labor does not guarantee collection.
· I ACKNOWLEDGE that any information supplied to the Department may be provided to the employer/principal, the agents of the employer/principal, and other agencies or individuals as the Department deems appropriate.
· I AGREE that if I move or have changes to my contact information, I will let the Department know right away, and UNDERSTAND that if I do not update my information and/or the Department cannot contact me, my complaint may be dismissed.
· I AUTHORIZE the Department of Labor to receive any monies paid and to mail such monies to me at my own risk.