JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Payroll Issues /
Problemas de nómina
Please complete this form only once for each issue. Multiple submissions will only slow our response to your issue. /
Complete este formulario solo una vez para cada problema.
Múltiples envíos solo retrasara nuestra respuesta a su problema.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name/Apellido
*
Your answer
First Name/Primer Nombre
*
Your answer
Cell Phone #/
Teléfono móvil #
*
No Dashes Please
Your answer
Email Address / Correo Electronico
*
Your answer
What state are you working in? / En que estado estas trabajando?
*
Your answer
Customer and/or Job Site Name / Nombre del cliente y sitio de trabajo
*
Example (ABC Company at 123 Main St, Philadelphia)
Your answer
Direct Supervisors Name / Nombre del Supervisor Directo.
*
Your answer
Current Issue / Tipo de problema
*
Missing Hours / Horas faltantes
Was not paid / No fue pagado
Wrong pay rate / Pago incorrecto
Other:
Date and Hours Worked Week of Payroll Issue / Dias y horas trabajas de la semana que tuvo el problema de pago.
*
If missing hours, please include the dates and # of hours worked each day of the week (Monday - Sunday) and any other relevant info (example: 10/18 8hrs; 10/19 10.5 hrs; 10/20 5hrs; Cleaning Windows)
Si faltan horas, incluya las fechas y el número de horas trabajadas cada día de la semana (de Lunes a Domingo) y cualquier otra información relevante (ejemplo: 18/10 - 8 horas; 19/10 - 10,5 horas; 20/10 - 5 horas; limpieza de ventanas)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Job&Talent.
Report Abuse
Forms
