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PAGA New PAGA Claim Notice

Private Attorneys General Act (PAGA) - Filing 

New PAGA Claim Notice 

Your Information (Person Who is Filing)










Plaintiff Information


Employer Information






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Notice General Information


Please click the field to select date.
Notice Violations - Check All that Apply * 



PAGA Claim Type - Check All that Apply *
Filing Fee
I declare that I have or will pay the filing fees required by statute [Labor Code section 2699.3(a)(1)(B)] according to the instructions on the PAGA home page, unless I have claimed in forma pauperis by checking the box below. 


Notice and Other Attachments

Must be a PDF

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