Skip to Content Accessibility Information
Official websites use .maryland.gov

A .maryland.gov website belongs to an official government organization in Maryland.

Secure websites use HTTPS certificate

A lock icon or https:// means you’ve safely connected to the official website. Share sensitive information only on official, secure websites.

  • Maryland State Jobs
  • Translate

Wage Claim Form Instructions - Employment Standards Service (ESS)

By clicking the download link below, you are affirming that you have read and understood the instructions.

Download the Wage Claim Form (Word)

Al hacer clic en el siguiente enlace de descarga, usted está afirmando que ha leído y entendido las instrucciones.

Forma para el reclamo de sueldos (Word)

Mail or e-mail completed, signed form to:
Maryland Department of Labor
Division of Labor and Industry
Employment Standards Service
10946 Golden West Dr. - Suite 160
Hunt Valley MD 21031
E-mail address: DLDLIMdLaborComplaint-dllr@Maryland.gov