Human Resources and Skills Development Canada
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Administration and Enforcement Procedures - Fair Wages and Hours of Labour Act and Regulations

OPD 870
Effective May 2005

 



 

APPENDIX A

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**Date**

File No.:  **Auto fill**
Assignment No.:  **Auto fill**

**Name and address of the complainant**

Dear ****Mr./Mrs./Ms.**** **name of the complainant**:

Subject: Fair Wages and Hours of Labour Act and Regulations – Complaint of non-payment of wages in accordance with the appropriate Schedule of wage rates for federal construction contracts

I understand that you have engaged ****a lawyer OR an agent**** to handle your complaint of non-payment of wages. In order for me to deal with this individual on your behalf, I must receive your written authorization. If you wish to make such an authorization, please complete the bottom portion of this letter and return it to me as soon as possible, so that I may proceed with the investigation of your complaint.

Should you have any questions concerning this matter, please do not hesitate to contact me at the address or telephone number indicated below.

Yours sincerely,




 

**Name**, Inspector
****Complete address if not shown on letterhead****
Telephone Number:  **Telephone Number**
Fax Number:  **Fax Number**

I authorize (lawyer or agent's name) __________________________, at (lawyer or agent's address and telephone number) ___________________________________ to act on my behalf in the matter of my complaint of non-payment of wages under the Fair Wages and Hours of Labour Act and Regulations against **contractor/employer's name**.




_______________________
Signature of complainant
_______________________
Date

** Where input is necessary
**** Use one OR the other possibility given in between the asterisks