Texas Workforce Commission Labor Law Section Payday Documenm to be Imaged Clnim No. 17 059533 L. HILL -- Chapmr: 1. Invesdgations >4 2. Special Henn'ngs 3. Commission Review 4. Collections 5. judicial Review Type ofDocmnem: Check Stubs/ Payroll Rocoxd Collection Documents Company Policy Manual Special Heniing Documents Contract/Agreunent an Pay Commission Appeal Documenls Commission/Bonus Agteement Judicial Review Down-lens Authorization for Dcductions Other Description: 3 AIM ANT Preliminagz Wage Detan--ninsg'gn Ordex RETURNED NOT IN KS ZRKING ORDER NO UPDATED ON 121 El QMED AS VACANT UNABLE TO EOEWALD. UNABLE TO LOCATE CURRENT PHONE AND OR MAILING ADDRESS. (0815) 21mm: 7:35 AM Texas Workforce Commission Labor Law Section Payday Documents to be Imaged ClaimNo: User ID: 17 059533 5 HIN Date: 1/22/2018 Chapter: 1, Investigations 2, Special Hearings 3, Commission Review 4, Collections 5, Judicial Review Intake: Additional information for the claim. (Not rebuttal or ER response) ❑ Claimant ❑ Employer Returned Mail: CLAIMANT - RMCL Correspondence PWDO Other Investigator: ND2 EMPLOYER - RMER Correspondence ❑ ® PWDO Other ❑ Notes: 400 LL-5001(0216) January 22,2018 ❑ ❑ ❑ CLAIMANT COPY Texas Workforce Comiriissibn . 3 <APPEALS . You have the right to appeal this determination order. Your appeal must be in writing. It must be filed no later than 21 days from the date this determination order was mailed in order to preserve administrative appeal rights. If you fax your :appeal TWC must receive it no later than 21 days from the date the determination was mailed. TWC will use the date we receive the fax to determine whether your appeal is timely. If you file your appeal by fax, you should retain your fax collfirmation as proof of transmission. If neither party files a timely appeal, this determination order becomes the FINAL ;OROER of the Commission. Appeals should be mailed or faxed to: "Special Hearings Texas Workforce Commission Or 101 East 15th Street Austin, Texas 78778-0001 You may appeal by TWC's online appeal form Go to www.texasworkforce.org/paydayappeal Fax#: 512-463-9318 ADMINISTRATIVE LIEN Sec. 61.081 of the Labor Code provides that "A final order of the Commission against an employer indebted to the state for penalties or wages, unless timely appealed to a court, is a lien on all property belonging to the employer. The lien for an unpaid debt attaches at the time the order of the Commission becomes final." PAYMENTS An employer who requests a hearing to contest this determination should not send payment. Should your appeal decision affirm that wages are due, follow the payment instructions provided with the appeal decision. An employer who does not request a hearing to contest the determination order shall pay the amount ordered to the Commission not later than the 21st day after the date of mailing of the order. An employer shall make a net payment amount (balance after valid deductions that are authorized by state or federal law, and by court orders; such as but not limited to federal income tax withoiding, social security, and child suppor0 payable to the Texas Workforce Commission. Payment to the Commission constitutes payment to the employee for all purposes. To ensure proper processing please return the enclosed remittance slip, and deduction documentation with payment. You may contact the Commission for clarification on valid deductions. PENALTY If, the Commission determines that an employer acted in bad faith in not paying wages as required by this chapter, the Commission, in addition to ordering the payment of wages, may assess an administrative penalty against the employer. 1f.the Commission determines that an empioyee.acted in bad faith in bringing a wage claim, the Commission may assess an administrative penalty against the employee. BOND The Commission may require an employer to deposit a bond if the employer is convicted of two violations of this chapter or a final order of the Commission against an employer for nonpayment of wages remains unsatisfied after the 10th day after the date on which the time to appeal from that final order has expired and an appeal is not pending. Please provide the Labor Law Section written notification of any change in your address. Texas Workforce Commission Labor Law Section 101 East 15th Street Austin, Texas 78778-0001 1-800 832-WAGE (9243) -- Fax#: 512-936-3364 For more information about the Texas Payday Law Law'. go to our http://www.twic.staie.tx.us/ O obseekers/texas-payday-law LL-25A-BK (0915) aloz z Z Nbr eb site at: Q^^^"^ exscn W8 TEXAS WORKFORCE COMMISSION Labor Law-Bank Notice Unit 101 East 15th Street Austin Texas 78778-0001 RECEIVED 1 800 e32--9243 (Texas Only) 1 512 475--2670 (Uut--oF--State) JAN 22 2mg LABOR LAW 1 JOHN HILL Date: January 11, 2018 Wage Claim No.: 17 059533'5 Employer Name ANGEL MARTINEZ Employer No. . Dear Claimant The Texas Payday Law allows for the issuance of a Notice of Delinquent: IFreeze and Notice of Levy as a means of collection on your behalf. When aneemployer. is delnquent in. payment of wa es, this process allows the Texas Workforce Commission to notify your employer's financial institutiomsI, other businesses or governmental entities from whom this employer potentially receives income. These notices freeze the accountis} or income funds and require the institution or other entity, on demand by the Texas Workforce Commission to pay funds from the account or account receivables to settle the payment of wages. Please provide, in the spaces below, the name(s) and addressies] of any financial institution(s) in which the am In er may have an account Also, if you know of any business(es) or government agencyiiesi rom whom the employer may possibly receive income leg vendors, suppliers, contractors, clients, or customers for whom services were rendered), please list them If available, it would be helpful if you could provide a copy of the employer's check. This information is needed to assist us in the collection of wages for you, Please reply within 15 Ilavs from the date of this request by mailing this completed form to the above address it you have questions you may call the number shown above. Telecommunication device for the users can communicate with TWC by using Relay Texas. Those numbers are: 1 800--735--2989 (TDD) or 1 800--735--2988 If your address or phone number changes, it is your responsibility to notify Labor Law immediately. it you cannot be contacted the likelihood of receiving un aid wa es will be reduced. IF vou an MIT HAVE Am IT IS MDT I\l DES Ahv THIS FORM CONTACT US Bank/Business flank/Business Address 7 Address City City Phone Bank/Business Bank/ Business Address Address City City Phone Comments IF ADDITIONAL SPACE IS NEEDED. IISE THE BABK (IF THIS FORM 10 107029 FORM u-ias (inns) PDISSR 911111I1 IdlFl(I-I^Ill^lll(dd011111111" y"l1'1I1 ...^III'^fll 1ys.v'I a1:OffVZ 8l©Z Z Z Nvf 9b8(00£lZ Qwaolau 7.?2 T'y fN^il -1 N aodisodsn 4 9MOB A7N11.J Z.j s' DE ^`y22l44 Ysv'_ri'as ^3 7 -s f.; RETURN TO SENDER L'_.^.t_';S! T O ilflABLE TO FORWARD D^ {q m ^. 5Y@@aLL1ij^G17Z80 aC. 78778>66&1 707700601 y2193"04139'-17-ZC I Texas Workforce Commission . Labor Law Section Payday Documents to be Imagcd Claim No. 17 059533 5, JOHN HILL Umm - Chapter: 1i Investigations 2. Special Hearings 3. Commission Review 4. Collccu'ons 5. Judicial Review Type of Document: Check Stubs Payroll Record Company Policy Manual Contract/Agreement on Pay Commission/Bonus Agzeement Authorization {oi Deductions Odie: Descfipdon; cum" -- CORRECTED ADDRESS As CURTESY NEUBUS NTERED IN . CLAIMANT CALLED AND A ES WITH DETERMINATION. Collection Documents Special Healing Documenm Commission Appeal Documents Judicial Review Documents (mi 1/19/2on 7:43 AM TEXAS WORKFORCE LABOR LAW SECTION 101 Em 15d] Strut, Room 124T Austin, Texas 73773 laboflnw em er a JOHN HILL January 19, 2018 Cu rtesy Cu py Indivmua/s may receive, review am: amen informallon mm TWO col/5015 about me to us amazing in Two Open Records, Rm 255 101 East 15'" SL, Amm, TX7577MW1. (0617) (Page 5 of 17 - ma psmtuueader can he changed using um praamudax HM. tag see ens new": mil. tux-nu). fox further infumtifin FILE COPY DETERMINATION CODES: COM) E'lhfl TEXAS WORKFORCE COMMISSION PRELIMINARY WAGE DETERMINATION ORDER Lalmr Law January 11, 2018 PAGE I OF I PAGES CLAIMANT EMPLOYER ANGEL MARTIMEI --BA uNxTEn MACHINE SHDF ANGEL MARTINEZ DEA LINITEII MACHINE SHOP An investigation having been completed, the following order is entered pursuant to Chapter 61 of the Texas Labor Code: FINDINGS AND CONCLUSIONS Our Investigatiun has determined that the claimant is entitled to for unpaid wages . Convincing evidence of employment has een provided far 5" or part of the period claimed. The Texas Payday Law only authorizes the collection of unpaid wages. Since expenses are not defined as wages under the law, the Commission is without Jurisdiction to rule on the claimed amount. it has been determined that the employer violated the provisions or the Texas Payday Law when the claimant's earned wages were not paid in accordance with the law. if it is determined that an employer has acted in pad faith, the commission may assess an administrative penalty for failure to pay wages as required by law. in this case no penalty is assessed. ORDER The employer, ANGEL MARTINEZ ls okumn to the use and benefit: of the claimant, Julili HILL and shall remit the gross or net amount disbursement payable to the Texas Workforce Commission. in addition, being found in violation of chapter 61 at the Texas Labor code, the employer is assessed an administrative penalty in the amount of which is to he remltted to the Texas Wurkforce Commission. Assigned Representative: Pursuant to the Texas Tax Code, section 171.255, If the corporate privileges of a corporation or other taxable entity subject to the franchise tax are forfeited by the Texas Comptroller, each officer or director of lhe taxable is liable tor any debt of the entity during the period at forfeiture. (SEE REVERSE SIDE FOR ADDITIONAL INFORMATION) mm nut. (Page 7 of 17 . . ..rt...., . This print header can be changedueing the printHeader HTFIIS tag - see the viewoNE HTAII,}manual for further information . , , . . , ^ _ . . ... . , APPEALS You have the right to appeal this determination order. Your appeal most be in writing. it must be filed no later than 21 days from the date this determination order was mailed in order to preserve administrative appeal rights. If you fax your appeal TWC must receive it no later than 21 days from the date the determination was mailed. TWC will use the date we receive the fax to determine whether your appeal Is timely. If you file your appeal by fax, you should retain your fax confirmation as proof of transmission. If neither party files a timely appeal, this determination order becomes the FINAL OROER of the Commission. Appeals should be mailed or faxed toi Special Hearings :-Texas Workforce Commission 101 East 15th Street Austin, Texas 78778-0001 Fax•#: 512-463-9318 .: Or You may appeal by TWC's online appeal form Go to www.texasworkforce.ore/navdayaupeai ADMINISTRATIVE LIEN See. 61.081 of the Labor Code provides that "A final order of the Commission against an employer indebted to the state for penalties or wages, unless timely appealed to a court, is a lien on all property belonging to the employer. The lien for an unpaid debt attaches at the time the order of the Commission becomes final." PAYMENTS An employer who requests a hearing to contest this determination should not send paymenL Should your appeal decision affirm that wages are due, follow to payment instructions provided with the appeal decision. An employer who does, not request* a hearing to contest ,the determination order sfwall ; pay the amount ordered to the Commission 'not later than the'21st day after the date of mailing' of the order. An employer shall make a net payment amount (balance after valid deductiohs that are 'authorized by state or federal lew, and by court orders; such as but not limited to federal income tax witholding, . social; security, and child support) payabie to the Texas Workforce Commission. Payment to the Commission constitdtes • payment to the employee for all purposes. To ensure proper processing please return the enclosed remittance slip, and deduction documentation with payment. You may contact the Commission for clarification on valid deductions. PENALTY. If the Commission determines that an employer acted in bad faith In not paying wages as required by this chapter, the Commission, in addition to order(rig the payment of wages, may assess an administrative penalty against the employer. If the Commission determines that an employee,acted in bad faith in bringing a wage claim, the Commission may assess an administrative penalty against the employee., BOND • . The Commission may. require an empioyer to deposit' a band if the emp,ioyer Is convicted of two violations of this chapter or a final order of the Commission against an employer for nonpayment of wages remains unsatisfied after the 10th day after the date on which the time to appeal from that final order has expired and an appeal is not pending. Please provide the Labor Law Section written notification of any change in your address. Texas Workforce Commission Labor Law Section 101 East 15th Street Austin, Texas 78778-0001 1-800 832-WAGE'(9243) -- Fax#: 512-936-3364 j or more information ! abont the.Texas Payday. Law Law go to oiir. web site at hftp //www twc sfateaa:us%iobseekers/texas-aavdav-ladv;' ;.: , • • •, , LL-25A-BK (0915) " nM Texas Workforce Commission Labor Law Section Payday Documents to be Imaged ClaimNo. 17 059533 5, JOHN HXLL - 1. Investigation: 2. Special Hearings 3, Commission Review 4. Couecuous 5. Judicial Review Type of Document: Check Stubs/Payroll Rancid Company Policy Mnnunl Contact/Agreement on Pay Commission/BonusAgrcemcnt Authorization for Deductions Description: Conecu'on Documents Spatial Hum'ng Documents Commission Appeal Documents Judicinl Review Documents omei 10:10 AM Texas Workforce Commission Claimant Name: JOHN HILL Labor Law Section Wage Claim No: 17 059533 5 macadam-- Investigator Name:-- User I Jurisdiction: Signed/Sworn: WC Postmark/Faxed/Recejved Date: 10-10>2017 lnfom-mtion Search (check off items xevimed) Amounts Claimed: Regulax Overtime Commission Bonus - Payday (Name Search) Payday System (Employcr Notes) Payday System (Bankxuptcy)* 503 (Filing History) 505 I I Texas As needed Vacation Deductions Sick Min Wag: Holiday om Severance Total- Pcu'odin Dispute: 9/11 to 9/21/17 Number ofHonrs Dlsputcd: 61.5 a: 42 Employer Response Infoxmau'on (Accozdirlg 1L2): Employer Response Received? Claim Dispuled? Claimant Paid? Check Received? Rate of Pay: Method oanyment: Check Cash Bankruptcy: Case No, Direct Deposit Other PACER Printouts Attached: loxls) "an018 mm) AM Texas Workforce Commission Labor Law Section Missing Facts: DATE INFORMATION USER ID 12/23/17 CALL CLAIMANT, ALSO, CANNOT READ THE CLAIMANTS WRITING AS HE STATES NO TAXES AND Per DIEM, NEED TO IDENTIFY. MULTIPLE WAGE CLAIMS NCLUDE: 17 059623 4 17 059526 2 17 060087 SAND CURRENT. ND2 Name, SSN, and Addtess Verificadons: Claimant's Name: Address: SSN: Verified By: Employex's Legal Name: Address: FEID ox SSN: Number of Employees: Ven'fiecl By: Infomatian Search Printout Included: Ifycs, soutcc: SOS If no,why not: Method ofI'ayment: Ven'fied By: Conmcm 8: Informed of Appeal Rights: Claimant: Employer. DATE INFORMATION 12/29/17 USER ID CALLED CLAIMANT --VOICE MAIL, REQUESTED CALL BACK REQUEST TO --BY 1/2/15 REGARDING LEGIBILITY OF WAGE CLAIM AND NEED ASSISTANCE WITH NUMBERS FOR WAGES AND OTHER FOR PER DIEM. CALLED EMPLOYER NOT ACCEPTING CALL. EXHIBIT B, LL6 TO EMPLOYER. 1/9/18 EMPLOYER CALLED ON 1/8/18, CALL BACK REQUEST INDICATING HIS H.R. STATES CLAIMANTS PAID AND REQUESTED CALL BACK INDICATING HE CAN SUPPLY DOCUMENTATION. RETURNED CALL TO MESSAGE STATES mu) momma m:mAM Texas Workforce Commission Labor Law Section 1/10/18 "NOT AVAILABLE RIGHT NOW, TRY AGAIN LATER". CALLED EMPLOYER AGAIN, SAME MESSAGE AS ON 1/9/18. REVIEWED WAGE CLAIM AGAIN AND FIGURED OUT CLAIMANT MADE ADDITION ERROR FOR WEEK 9/11 TO 9/17/17 INDICATING WORKED 61.5 HOURS BUT BASED ON HOURS PROVIDED THE CLAIMANT WORKED 60.5 HOURS. 2ND WEEK CLAIMANT WORKED 42 HOURS 9/18 TO 9/24/17). Law Violation: Y X N Ruling/Justification/Dete>:nvnation Codes: DATE INFORMATION CLAIMED UNPAID WAGES TOTALING 1/10/18 PLUS 11 DAYS OF PER DIEM PAY @ $ USER ID HOURLY = CLAIMANT INDICATES HE WAS PAID $ OPRIOR TO WAGE CLAIM FILED LEAVING A WAGE BALANCE OF $ . THE EMPLOYER WAS MAILED AN LL6 AND RETURNED CALL TO LEAVE VOICE MAIL INDICATING HIS H.R. DEPARTMENT TOLD HIM THESE INDIVIDUALS PAID (3 DIFFERENT WAGE CLAIMS OUTSTANDING) AND TO CONTACT HIM FOR PROOF OF PAYMENT. ATTEMPTED TO CONTACT EMPLOYER AGAIN BUT MESSAGE INDICATES EMPLOYER UNAVAILABLE RIGHT NOW, CALL LATER. ATTEMPTED TO CONTACT EMPLOYER ONE MORE TIME, SAME MESSAGE. BASED ON THE INFORMATION PROVIDED BY THE CLAIMANT IT APPEARS THE CLAIMANT IS DUE WAGES TOTALING . HOWEVER, AS PER DIEM IS NOT A WAGE ACCORDING TO THE PDL BUT RATHER AN E-XTENSE, NO AMOUNTS ELIGIBLE. ALSO, UNABLE TO DETERMINE IF EMPLOYER REQUIRED TO PAY OVERTIME WAGES ACCORDING TO FLSA REQUIREMENTS. Code Type C040, 1, Code Type LL-5001/LL$ (0815) Amount Amount Code Type E140 Code Type Amount Amount 1/10/2018 10:10 AM Code Type Amount E141 Penalty Amount $ Texas Workforce Commission Labor Law Section Amounts Awarded Computations:: DATE INFORMATION 1/10/18 Quarter/Year 3/17 $: USER ID Quarter/Year / $: Quarter/Year / $: Quarter/Year / $: Employer Styling Justification Employer Account Registered Entity: Y X N Effective Date: End Date: FOCP: Y Q N X So1e Proprietorship/General Partnership: Y X N DATE INFORMATION 12/29/17 USER ID . ND2 ANGEL MARTINEZ Dba: UNITED MACHINE SHOP Per TAXPAYER INFORMATION AND USAS (TAX REFERRAL) Penalty Warning Warranted: Y X N Penalty Warranted: YNX Worksheet Attached: YNX Bond Warning Warranted: YNX Justiflcation: INFORMATION DATE 1/10/18 4 WAGE CLAIMS FILED FOR SAME TIMEFRAME 1s'r PDL VIOLATION. LL-500VLL-3 (0815) 1/10/2018 10:10 AM • USER ID ND2 FILE CDPY DETERMINATION CODES: C0180 TEXAS WORKFORCE COMMISSION PRELIMINARY WAGE DETERMINATION ORDER Labor Law January 2015 PAGE I OF 1 PAGES CLAIMANT EMPLOYER ANGEL MARTINEZ JOHN HILL DBA UNITED MACHINE anP ANGEL MARTINEZ EBA UNITED MACHINE SHOP An investigation having been Completed, the following order is entered pursuant to Chapter SI of the Texas Labor Code: FINDINGS AND CONCLUSIONS Our investigation has determined that the claimant is entitied to for unpaid wages . convincing evidence of employment has been provided for all or part of the period claimed. The Texas Payday Law only authorizes the collection of unpaid wages. Since expenses are not defined as wages under the law, the Commission is without jurisdiction to rule on the claimed amount. it has been determined that the employer violated the provisions of the Texas Payday Law when the cIaImant's earned wages were not paid in accordance with the law. If it is determined that an employer has acted in bad faith, the CommIssinn may assess an administrative penalty for Failure to pay wages as required by law. In this case no penalty is assessed. ORDER The employer, ANGEL MARTINEZ is ORDERED to pay__-for the use and benefit of the claimant, JOHN HILL and shall remit the gross or net amount disbursement payable to the Texas workforce Commission. In addition, being found In violation of Chapter 6] of the Texas Labor Code, the employer is assessed an administrative penalty in the amount of which is to be remitted to the Texas Workforce Commission. Assigned Representative: Pursuant to the Texas Tax Code. sectlon 171.255. the corporate privileges at a corporation or other taxable entity subject to the franchise tax are forfeited by the Texas Comptroller, each Ditlcer or dlrector of the taxable entity Is liable let any debt of the entity during the period at forfeiture. NJ (SEE REVERSE SIDE FOR ADDITIONAL INFORMATION) LL-ZEA (D310) me was. low APPEALS You have the right to appeal this determination order. Your appeal must be in writing. It must be filed no later than 21 days from the date this determination order was mailed in order to preserve administrative appeal rights. If you fax your appeal TWC must receive it no later than 21 days from the date the determination was mailed. TWC will use the date we receive the fax to determine whether your appeal is timely. If you file your appeal by fax, you should retain your fax confirmation as proof of transmission. If neither party files a timely appeal, this determination order becomes the FINAL ORDER of the Commission. Appeals should be mailed or faxed to: Special Hearings Texas Workforce Commission 101 East 15th Street Austin, Texas 78778-0001 Fax#: 512-463-9318 Or You may appeal by TWC's online appeal form Go to www.texasworkforce.ore/Aaydayappeal ADMINISTRATIVE LIEN Sec. 61.081 of the Labor Code provides that "A final order of the Commission against an employer indebted to the state for penalties or wages, unless timely appealed to a court, is a lien on all property belonging to the employer. The lien for an unpaid debt attaches at the time the order of the Commission becomes final." PAYMENTS An employer who requests a hearing to contest this determination should not send payment. Should your appeal decision affirm that wages are due, follow the payment instructions provided with the appeal decision. An employer who does not request a hearing to contest the determination order shall pay the amount ordered to the Commission'not later than the 21st day after the date of mailing of the order. An employer shall make a net payment amount (balance after valid deductions that are authorized by state or federal law, and by court orders; such as but not limited to federal income tax witholding, social security, and child support) payable to the Texas Workforce Commission. Payment to the Commission constitutes payment to the employee for all purposes. To ensure proper processing please return the enclosed remittance slip, and deduction documentation with payment. You may contact the Commission for clarification on valid deductions. PENALTY If the Commission determines that an employer acted in bad faith in not paying wages as required by this chapter, the Commission, in addition to orderlug the payment of wages, may assess an administrative penalty against the employer. If the Commission determines that an employee acted in bad faith in bringing a wage claim, the Commission may assess an administrative penalty against the employee. BOND The Commission may require an employer to deposit a bond if the employer is convicted of two violations of this chapter or a final order of the Commission against an employer for nonpayment of wages remains unsatisfied after the 10th day after the date on which the time to appeal from that final order has expired and an appeal is not pending. Please provide the Labor Law Section written notification of any change in your address. Texas Workforce Commission Labor Law Section 101 East 15th Street Austin, Texas 78778-0001 1-800 832-WAGE (9243) -- Fax#: 512-936-3364 or more informationabout the Texas Payday. Law Law go to our web site at: htto://www:twc.state:tx:us/ iobseekers/texas-eavdaa-law LL-25A-BK (0915) ""°" Texas Workforce Commission Labor Law Section 101 E, 15'h St Room 124T Austin Tx 78778-001 1-800-832--9243 ANGEL MARTINEZ DBA: UNITED MACHINE SHOP Date: December 29, 2017 RE: Wage Claim No.: 17 060087 8, DAWSON, 17 059523 4, CHAVEZ, 17 059533 5, HILL 17 059526 2, CRAWFORD EMPLOYER INFORMATION REQUEST 1 need (0 speak with you reguding <Texas Work£orce Commission Labor Law Section Payday Documents to be Imaged Claim No: User ID: Date: Chapter: (-7 f)V5-3 3 - 5 HIN ^ o &-^`,so ( 1, Investigations 2, Special Hearings 3, Commission Review 4, Collections 5, Judicial Review Intake: Additional information for the claim. (Not rebuttal or ER response) Claimant ❑ Employer ❑ Returned Mail: CLAIMANT - RMCL Correspondence PWDO Other Investigator: EMPLOYER - RMER Correspondence PWDO Other Notes: 4 0 a LL-5001 (0216) September 6, 2017 STATE OF TEXAS TEXAS WORKFORCE Labor Law. 1131 East Austin, Texas for-Lb" 151h Street l0/20/l7 Date: ACKNOWLEDGMENT NOTICE FUR IDUR INFORMATION: Vour wage claim has been received by the Labor Law Department. We have notified the employer and have requested a response. Please be aware that ii any wages are determined due to you, they must first be collected from the employer before we can send them to you. Wage amounts awarded in wage claim cases are not drawn from state funds. Due to the high volume oi claims, we cannot provide a specific date when each step oi the claim process will decor. You should he aware thei tile investigation process can take as long as three to ion months depending on claim volume. Generally, the following steps will be taken: Vaur Wage claim ill be assigned (0 I Labor Law for investigaliunu Vol! may be contacted by the investigator if additional infarmafinrl is nsaflelt - Based on the investioalion, our deparlrnenl will issue a Preliminary Wage Determination Order (PWDD). You and the employer will have appeal rights to the PWDD. lf'you'chouse lo appeal 'lhfl'WfiB, youamusfsond--rwrilterrsappaal 2i days If. nEiQher 77777 7 you nor the employer requests an appeal or judicial review, and if the amount ordered due is not submitted by the employer within 30 days after the date of the PWDU, our Collections Unit will pursue collection of the amount from the employer. - If the money cannot lie collected then a lien may he iileu as a permanent record of the debt owed to you hy the employol: Any money collected on your beheli will be forwarded to you provided we have your current mailing address. We hope this iniarmatiun on our procedures will tie helpiul to you and reduce any uncertainties you may have pending a decision on your case. Please keep this information for your future reference, Any inquiries or future correspondence should include your claim number as listsd at ihe top or (his page. ATTENTION It is your responsibility to notify us in writing if your address or Phone numher changes. Ii you cannot he contacted the likelihood or your collecting wages will he reduced. lemme. (minimum-me w'rwco mneenu z. duo's-3n. mmuau-Tx mum. round 10 10090000 izszvazc As indicated on the front of this letter, the Texas Workforce Commission iTWC1 Labor Law Section is in receipt of your payday wage claim and it is still in the early information gathering stage. Do not file another wage claim as this will only cause delays. You may amend this claim to adjust the amount claimed and include additional pay periods if necessary. We are unable to provide the date your claim will be assigned for investigation. Please understand that your wage claim has. not been assigned to an investigator. We may need the following additional information from you that would be helpful in working your wage claim more efficiently. lf-.you. have not already provided this information along with your wage claim, please provide , it within -seven days by mail; fax (512) 936-3364 or email labor.law@twc.state.tx.us. If these items are not provided, it may result in your wage claim being delayed and or dismissed. If you are aware of any ,agreement (such as arbitration, collective bargaining, union contract, ERISA, Service Contract ACT, `-etc:} that existed between you and the employer, please send us a copy. Regular' wages and Overtime: We need a daily breakdown of the hours, miles, pieces etc. you worked during the period your are claiming. You should also attach copies of any check stubs from the employer if available. If you have been paid let us know. Commissions & Bonuses: If there is a written agreement attach a copy of it. An explanation of how the amount of commissions was calculated, when commissions/bonuses are earned such as upon delivery, payment, etc., when commissions/bonuses are due for payment, and any identifiers such as customer name, invoice number, etc. Fringe Benefits (Vacaction, Sick, Holiday, PTO, and Severance): A copy of the written policy or agreement providing for cash payout and record of balance or hours left such as check stub. Deductions: A copy of the written agreement for deductions. Evidence of the amount deducted such as check stub or earnings statement, reason for the deduction, and any amounts you authorized. Pay below Minimum wage or less than the amount agreed on: A record of the days and hours (miles, pieces, etc...) worked, the amount you were paid, the amount you should have been paid and copies of any check stubs or earnings statement. More Information about employer: employer. We need a complete name and mailing address of the Keep in mind that once your wage claim is assigned to an invesigator, they may contact you if there are any unresolved issues. However, should you have additional questions regarding the wage claim process or the Texas Payday Law in general, visit our web page texasworkforce.org/paydayem ploy^e FORM PULLI0 T1215) *41 ^ - - IMPORTANTTWC DOCUMENTS: OPEN IMMEDIATELY DOCUMENTOS IMPORTANTES DETWC: ABRIR INMEDIATAMENTE- F?TNEY SGWES US.POSTQG3 Qcr.^o`^ol :r ^y ^•• Z^P.. :.78158 ' OQ.0^17 : 21 ^OOSi72 ZtL:srTVM OCT30 2017 LABOR LAW 1 4 P 7 32 .-^IE 127Z ,^ ETW RN TO S-Efi! •t'^ ER 3d O S UI-^-14 VA'L.!ASE3? ti N.ABl. E TO Ft3R WAR Ci NSN ; 4 1^4&H`4A%i_^6 SG: 7877813093. *2093--063$i.-z6-30 l1r111111l11l1tylta ilIII lllf 111111111111111 111111 L. P5w00~ Wage Claim TEXAS omen}: COMMISSION. LABORLAW 11530157871! cum Tdeghm: 1469-332 924: o: "magma TDD noo--vsum (Hnm; Imp-1M); $5124va5 <>. 2W: m: iddrus,?ndphom number? Don't me Amynn in bw'finpicy? m' I mum>> h-Nmnsaccamum on sun 1 (WW I Em '9 ll, a (MS me Chou): Wm) otupaumga Iain: but damn: you: daim. me me me mt wimp-1d w-gz-im in arms mm: "mum ours." 5.. Cmruhibml _.m4m Bra-3n 5.. much unwuumu 1.. meWmW-r I.-- . TOTAL UNPAID mass mans--._ tn. ,oo <<1qu u. Wham: many) '5 - 12. If anuguhr, mam. male: mini-mm "go, me to: which ynu <> 15. Imamhg'dadncuom,aia lign my nuthnu'zuflnn EM mum oxhx Ya; In>> E'pm Kuw- xtyu.pm-mymn (much: my). 16. Are 3m" mu. urn-y In "Mum, comm" Wigwam; union (cubism, ERIKA. 5mm Wm". em) <> muhmm' 1 rx Mumm- mu min-Mg Mu 21:760qu mm: mm 34.25an tummy, I . LABOR. 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