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 B

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**Date**

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

Please find attached a Complaint Registration Form which, when completed, will allow us to conduct an investigation of your complaint. Please:

  1. Answer the questions in sections A to H, wherever appropriate.
  2. Indicate whether we may use your name during our investigation by placing your initials in either YES or NO in section D of the form. (Allowing us to divulge your name to the employer will assist our investigation.)
  3. Sign the complaint form and return it in the pre-addressed envelope. Please include any documentation relevant to your complaint.

On receipt of your signed complaint form, an inspector will be assigned to your case to determine whether the provisions of the Fair Wages and Hours of Labour Act and Regulations are applicable, and, if so, whether the "Labour Conditions" and wage Schedules included in the contract under which you are working have been met. All original documents which you provide will be returned to you once your case has been closed.

Yours sincerely,




 

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

Att.

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