Complete only the "employee" section. Be sure to sign and date the claim form and keep a copy for your records.Devuelva el formulario de reclamo a su empleador de inmediato en persona o por correo. Si usted envía el formulario de reclamo por correo, utilice el correo. Combined Contract Schedules for Construction and Professional Services Contracts. To use the latest web form version please click on this link. Utilice el formulario adjunto para presentar un reclamo de compensación de trabajadores con su empleador. Volunteers lead community pop-up clinics, serve as mentors and guides for students in STEAM, support fundraising events, and more!