How to File a Piece-Rate Worker Check Request

Employees paid piece-rate who worked between July 2012 and December 2015 may be eligible to receive payment for unpaid back wages.

A California law that went into effect on January 1, 2016, requires workers paid by piece-rate be compensated for rest and recovery periods, on the job training or transport from worksites during their work shifts.

Complete the AB 1513 Piece-Rate Worker Check Request form to recover unpaid wages if you fulfill the conditions listed below:

  • ✔ Did you work in California between July 1, 2012 and December 31, 2015?
  • ✔ Were you paid piece-rate? This means that you were paid for each box or unit produced.
  • ✔ Can you name your employer(s) from the time period specified above? If you have your check stubs or income tax records, review them for your employer’s name.

» The name of your employer must appear on the list of employers who submitted payment for unpaid back wages.

» you are still unsure if your employer made a payment:
Send an email to
Call DIR’s call center at (844) 522-6734

Send the signed form by mail, email or fax to:

Department of Industrial Relations
AB 1513 Application
1515 Clay St., 17th Floor
Oakland, CA 94612
(510) 622-3265

The form can also be dropped off in person at your local Labor Commissioner’s Office.

California’s labor laws protect all workers, regardless of immigration status.

September 2018