PAGA Employer Response or Cure Notice

Private Attorneys General Act (PAGA) - Filing

Employer Response or Cure Notice

Please enter only the eight digit number after "LWDA-CM-" in the following format, "XXXXXX-XX".
Your Information (Person Who is Filing)
(enter "in proper" if you are representing yourself)
Plaintiff/Aggrieved Employee Information
Filing Fee
A filing fee of $75 is required to file an employer response. Filing fees should be paid by check, made out to LWDA, and sent by regular mail to:
           Department of Industrial Relations
           Accounting Unit
           455 Golden Gate Ave, 10th Floor
           San Francisco, CA 94102

The check should be accompanied by a cover letter with sufficient information to identify the notice, including the LWDA case number assigned upon submission of this form.
Parties requesting in forma pauperis status should complete a Confidential Request to Waive Court Fees (Judicial Council Court Form FW-001) or similar form and submit it online with the notice below.
Employer Response and Other Documents
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.