| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

PAGA Employee's Cure Dispute

Private Attorneys General Act (PAGA) - Filing

Employee's Cure Dispute

Please enter only the eight digit number after "LWDA-CM-" in the following format, "XXXXXX-XX".
Your Information (Person Who is Filing)









Plaintiff/Aggrieved Employee Information

Employer Information





Cure Dispute


Should you have questions regarding this online form, please contact PAGAInfo@dir.ca.gov