Wage Arrears Claim

Generate a pre-trial claim to the employer for unpaid wages

Fill in the details

Employer (company name)

Employer EDRPOU

Employer address

Your name

Your RNOKPP

Your address

Position

Employed since

Owed amount (UAH)

Owed period

Deadline (days)

City

Date

Ready document

PRE-TRIAL CLAIM FOR WAGE ARREARS

City: __________ Date: __________

TO: __________________ (EDRPOU: __________)

Address: __________________

FROM: __________________

Tax ID (RNOKPP): __________________

Address: __________________

Position: __________________

Employed since: __________

CLAIM

1. I am employed by your company in the position stated above.

2. As of the date of this claim, the company owes me wages in the amount of __________ UAH for the period: __________.

3. Under Article 115 of the Labor Code of Ukraine, wages must be paid regularly at least twice a month. Delayed payment violates labor legislation.

4. Under Article 117 of the Labor Code of Ukraine, in case of delayed payment the employer must compensate the employee for the loss of purchasing power (indexation).

I DEMAND:

1. Pay the wage arrears in the amount of __________ UAH within 10 calendar days from receipt of this claim.

2. Provide a written response.

If this claim is not satisfied, I will be forced to apply to the State Labor Service and/or the court to protect my rights, which will entail additional costs for the company.

Attachments: employment contract copy, payslips/account statements.

____________________

About Wage Arrears Claim

Wage Arrears Claim — Pre-trial claim to employer for unpaid wages. Documents: Application, contract and lawsuit templates. Use our tools without registration or installing software. All calculations happen in your browser — your data is never sent to a server.