Wage & Hour Employer Response Form
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* Indicates Required Field
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Before completing your response, read all instructions. Be sure to provide all necessary documents. Submission of this form alone will not be sufficient.
Pursuant to Title 40 O.S. § 197.7 and 165.7, as an employer in the State of Oklahoma, you are required by law to complete an Employer's Wage Claim Response Form. Your response must also include all documentation (i.e. policies, checks, payroll, timecards) with regard to your defense of this claim. Your completed response form must be returned to this department within fifteen (15) days of date on notice. |
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*Is the business incorporated? |
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*Is the Claimant related to the owner/officer of the business? |
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*Is the business still operating? |
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*If the business is closed, has any action been filed in bankruptcy court? |
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Employment Agreement |
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*Was the agreement: |
*Does the Claimant have any of your property? |
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*Did the Claimant sign any documents authorizing deductions other than regular payroll deductions? |
*If the claim is for hourly wages or salary, did the Claimant work the weeks/days/hours as claimed? Provide copies of time cards and other records. |
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*If the claim is for holiday, vacation, overtime, severance, bonuses, or other similar advantages of pay promised, do you have a policy or practice of making such payments? (Provide copies of any written policies of agreement, including the Claimants signature page) |
*Did the Claimant meet the conditions of such policies or practices? |
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*Has the Claimant been paid any of the wages in question? |
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Type of Payment: |
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I HEREBY VERIFY, that this is a true, complete and accurate statement of facts relating to the claim to the best of my knowledge and belief. I understand that falsification of any information required by this form is a felony and can result in criminal prosecution. |
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