legal · go-v.org

Filing an FLSA claim.

CFR · 2024-01-01 · US · Title 5

(a) (b) (c) (1) The identity of the claimant (see § 551.706(a)(2) regarding requesting confidentiality) and any designated representative, the agency employing the claimant during the claim period, the position (job title, series, and grade, or equivalent level) occupied by the claimant during the claim period, and the current mailing address, commercial telephone number, and facsimile machine number, if available, of the claimant and any designated representative; (2) A description of the nature of the claim and the specific issues or incidents giving rise to the claim, including the time period covered by the claim; (3) A description of actions taken by the claimant to resolve the claim within the agency and the results of any actions taken; (4) A copy of any relevant decision or written response by the agency; (5) Evidence available to the claimant or the claimant's designated representative which supports the claim, including the identity, commercial telephone number, and location of other individuals who may be able to provide information relating to the claim; (6) The remedy sought by the claimant; (7) Evidence, if available, that the claim period was preserved in accordance with § 551.702. The date the claim is received by the agency or OPM becomes the date on which the claim period is preserved; (8) A statement from the claimant that he or she was or was not a member of a collective bargaining unit at any time during the claim period; (9) If the claimant was a member

official document · source cfr-2024 · id 5:§ 551.705