PAGA Amended PAGA Claim Notice

Private Attorneys General Act (PAGA) - Filing

Amended PAGA Claim Notice

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









Employer Information


Maximum 80 Character Limit




Amended Notice Detail


Additional Employer Information (Corporation/General Partnership)


Maximum 80 Character Limit






Additional Employer Information (Individual/Sole Proprietor)










Notice Violations - Check All that Apply * 





PAGA Claim Type - Check All that Apply *
Amended Notice


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

IMPORTANT NOTICE OF REDACTION RESPONSIBILITY: All filers must redact: Social Security or taxpayer identification numbers; dates of birth; names of minor children; & financial account numbers. This requirement applies to all documents, including attachments.