Residency Complaint Form
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1State of Wyoming
Department of
Workforce Services
Labor Standards
th
122 W. 25
Street, Herschler 2-East
John Cox
Cheyenne, Wyoming 82002
Matthew H. Mead
Director
307.777.8650 Fax: 307.777.5857
Governor
Lisa M. Osvold
Deputy Director
Job Site Location:
Street address
City
zip
Project Name/Definition:
_
Name of public body overseeing project (ex: Dept. of Ag):
Date contract was let (if known):
General Contractor Name:
General Contractor telephone number:
General Contractor address:
Street address
City
State
zip
Type of work in question:
Company or Contractor in question:
Telephone number:
Address:
Street address
City
State
zip
Specifics of Complaint (attach additional pages if necessary):
Your name:*
Telephone number
Your relationship to project:
Bolded areas must be completed. *You do not need to provide your personal information; however, doing so may aid in
investigation of your complaint.
We Bridge Human and Economic
Development for Wyoming’s Future.
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Parent category: Legal