Cal. Code Regs. tit. 8, § 13501.6
A complaint on a claim from a holder of a dishonored payroll check or draft, contemplated by Labor Code Section 98 and filed with the DIVISION shall be in writing and substantially in the following form:
)
Note: Authority cited: Section 98.8, Labor Code. Reference: Section 98, Labor Code.
1. Amendment filed 8-21-87; operative 9-20-87 (Register 87, No. 35).