FORM for submitting a complaint to the Netherlands Labour Authority (the Ministery of Social Affa...

The Netherlands Labour Authority ensures compliance with the Minimum Wage and Minimum Holiday Allowance Act [Wet minimumloon en minimumvakantiebijslag], the Working Hours Act [Arbeidstijdenwet] and the Working Conditions Act [Arbeidsomstandighedenwet].

The Netherlands Labour Authority does not monitor the existence of a written employment contract, or the observance thereof. In the Netherlands, the observance of individual employment contracts or collective agreements is a matter of civil law; contracting parties must ensure compliance themselves. Trade unionists can ask their trade union in the Netherlands or their own country to help them with this. Temporary employees can turn to the SNCU, the (Dutch) Foundation for Compliance with the Collective Agreement for Temporary Employees (see www.sncu.nl .) . Drivers in the international haulage sector: see www.fnvbondgenoten.nl..

For complaints about the quality of accommodation, you can best turn to your local council or to the fire brigade in your place of residence.

1. You are?

Last name, first name(s): *

Date of birth:

Nationality:

Current address:

Address in the Netherlands (if different):

Dutch Personal Public Service Number (!):

Everyone legally employed in the Netherlands has what is referred to as a Personal Public Service Number, which used to be called the tax and social insurance number. This is an important piece of information for all inquiries into salary and working hours. It is therefore very helpful if you specify this number!

2A. At which company/companies are/were you employed whilst working in the Netherlands?

Company name:

Address:

Country:

Telephone:

Registration number/trade register number (if known):

Period (from):

until:

Position:

Name of your boss, or of the person who appointed you:

Other useful information:

2B. Do/did you work there via a temporary employment agency? If so, which one:

Company name:

Address:

Country:

Telephone:

Registration number/trade register number (if known):

Period (from):

until:

Name of the person who hired you out:

Other useful information:

3. What is the nature of your complaint?

3A. About possible non-compliance with the Dutch statutory minimum wage and/or minimum holiday allowance? See www.szw.nl for the amount of the statutory minimum wage. Please realise that breaks and travelling time are not counted as working hours!

If you have received a wage statement from your employer specifying the hours worked, including gross and net amounts, please send copies to:
Inspectie SZW
Postbus 820
3500 AV Utrecht

If you believe that this wage statement is incorrect, please send it anyway, pointing out where you believe it was not filled in correctly.

If you do not have such a wage statement, please fill in the outline below as precisely as possible:

Place(s) where the work was carried out:

Number of hours worked:

please break down per week and per employer

Employment contract concluded in writing or orally:
In case it was concluded in writing, please send a copy
to the above-mentioned address of the Inspectorate SZW

(only to be filled in if you concluded an employment contract orally)
with whom did you conclude the employment contract, and what did you agree upon:

Paid holiday hours taken:

Were any travelling or accommodation expenses withheld from your wages and, if so, what was the amount:

Other information (if known); specific arrangements concerning the calculation basis for wages:

Any specification of your complaint about remuneration, holiday allowance and/or holiday entitlements:

Ditto for employer/ hirer 2 (if applicable)

3B. Possible non-compliance with Dutch legislation on working hours www.goverment.nl

Starting date of employment:

Final date of employment:

Work schedule per day, including breaks:

Other information about your working hours or specification of your complaint :

If you are employed in the road transport sector, please send copies of the tachograph disk to the Inspectorate SZW.

3C. An industrial accident or a complaint about the possible non-compliance with Dutch legislation on working conditions see www.goverment.nl (english)

Your employer is obliged to report serious industrial accidents. Serious industrial accidents are industrial accidents that result in hospitalisation for one or more nights. If you are not sure if your employer did this, please give a short description of the nature, place and time of the accident:

If you have a complaint about the health or safety conditions in your place of work, please add a brief description of your complaint:

* = Input is required

FORM for submitting a complaint to the Netherlands Labour Authority (the Ministery of Social Affairs and Employment) about a possible violation of social laws whilst working in the Netherlands

1. You are?

2A. At which company/companies are/were you employed whilst working in the Netherlands?

2B. Do/did you work there via a temporary employment agency? If so, which one:

3. What is the nature of your complaint?