Submit form LS223 to make a claim regarding unpaid wages, unpaid wage supplements, minimum wage or overtime violations, illegal deductions. If you have questions about how to complete this form call (888) 469-7365.You will be directed to the nearest WHD office for assistance. To file a complaint or to request a referral, please fill out this form and an OLPS representative will contact you. Gather information to file your complaint: Your name, address, and telephone number. File Workplace Complaint. Fill out the complaint form, answering all of the questions completely. All services are free and confidential. File a complaint online Visit our online portal to file a complaint online. You may want to have pay stubs, handbooks, or other records related to your problem with you as you fill out the complaint form.