Report Of Labor Law Violation Form (Bofe 1) Page 2

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SECTION 3. WORK HOURS AND WAGES (continued)
DO EMPLOYEES WORK DIFFERENT SCHEDULES OR IRREGULAR HOURS SO YOU CANNOT PROVIDE A STANDARD WORK SCHEDULE?  YES  NO
IF “YES,” BRIEFLY DESCRIBE THE DIFFERENT SCHEDULES OR IRREGULAR WORK HOURS AS BEST AS YOU CAN: ____________________________
____________________________________________________________________________________________________________________
WHEN IS THE NORMAL OR STANDARD SCHEDULED MEAL PERIOD FOR EMPLOYEES?
START TIME: _________  AM  PM
END TIME: _________  AM  PM
THERE IS NO STANDARD SCHEDULED MEAL PERIOD
MINUTES
 HOURS
WHAT IS THE AVERAGE LENGTH OF TIME FOR AN EMPLOYEE’S MEAL PERIOD? ________
WHO SET THE WORK SCHEDULE? (FULL NAME AND JOB TITLE/POSITION): ____________________________________________________________
WHAT DAY IS PAY DAY?
DAILY
WEEKLY ON __________________________
BI-WEEKLY ON
__________________________
(Once every two weeks)
MONTHLY ON ________________________
SEMI-MONTHLY ON
____________________________
(Twice a month)
WHO PAYS EMPLOYEES? (FULL NAME AND JOB TITLE/POSITION): ___________________________________________________________________
ARE EMPLOYEES PAID BY THE HOUR?  YES  NO
IF “YES,” HOW MUCH? $ __________ PER HOUR
VARIES (EXPLAIN):_____________________________________________________________________________________________________
ARE EMPLOYEES PAID A FIXED AMOUNT OF WAGES (OR SALARY), REGARDLESS OF THE NUMBER OF HOURS WORKED?  YES  NO
IF “YES,” HOW MUCH? $ ___________  PER DAY
 PER WEEK
 EVERY 2 WEEKS
 SEMI-MONTHLY
 MONTHLY
VARIES (EXPLAIN):_____________________________________________________________________________________________________
ARE EMPLOYEES PAID BY PIECE RATE?  YES  NO
IF “YES,” HOW MUCH? $ ________ PER (Describe Unit) ___________________________
PIECE RATES VARY (EXPLAIN): ____________________________________________________________________________________________
HOW ARE EMPLOYEES PAID?  CHECK
 CASH
 BOTH CHECK & CASH
 OTHER METHOD (EXPLAIN): ________________________________________________
 METHOD OF PAYMENT VARIES PER EMPLOYEE OR JOB POSITION (EXPLAIN): _______________________________
______________________________________________________________________________________________
IF EMPLOYEES ARE PAID IN CASH, DOES THE EMPLOYER KEEP CASH PAYMENT RECORDS OR LOGS?  YES  NO
 DON’T KNOW
DOES THE EMPLOYER KEEP TIME RECORDS OF HOURS WORKED BY EMPLOYEES?  YES  NO
 DON’T KNOW
WHAT LANGUAGES ARE SPOKEN BY EMPLOYEES?  ENGLISH  SPANISH  MIXTEC  TRIQUE  CANTONESE  MANDARIN  KOREAN
 VIETNAMESE  TAGALOG  CAMBODIAN  HMONG  THAI  PUNJABI
 HINDI
 RUSSIAN
 OTHER: _____________
SECTION 4. SUSPECTED VIOLATIONS OF EMPLOYER
The boxes below describe conduct by an employer that violates the law. Please put a check mark in the box(es) if the employer
engages in, or any employee or employees have experienced, any of the following violations:
 NO WORKERS’ COMPENSATION INSURANCE
 CHILD LABOR VIOLATIONS:
 No valid work permit(s)
 No valid entertainment work permit(s)
 Minor(s) work excessive or prohibited hours
 Minor(s) work in hazardous conditions
Estimated number of minors affected: _________
 MINIMUM WAGE VIOLATIONS:
 OVERTIME VIOLATIONS:
 Paid below minimum wage
 Not paid daily overtime for hours worked over 8 hours per
 Not paid at all for overtime hours worked
day (or 10 hours per day for farmworkers)
 Not paid for all hours worked, including unpaid travel time and
 Not paid weekly overtime for hours worked over 40 hours
try-out time
per week
 Paycheck issued with insufficient funds
 Not paid double time for hours worked over 12 hours per
 Asked employee to pay back wages paid
day
 No split shift premium pay
 Not paid overtime for working on the 7th consecutive
workday in a workweek
Estimated number of employees affected: _________
Estimated number of employees affected: _________
BOFE 1 (Rev. 11/2012)
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