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Paycheck Discrepancy Form

Do you believe there was an error on your paycheck? Fill out the form below to have our staff review your paycheck.

Name

Date

Phone

Email

Last Four Numbers of Your Social Security Number

Pay Period Date

Company Worked For

Position Worked

Please check any of the areas in question:

Pay Rate

Hours

Employee Data

Other

Thanks for submitting!

Wine & Dine Hospitality Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Wine & Dine Hospitality Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Wine & Dine Hospitality Inc. expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Wine & Dine Hospitality Inc. employees to perform their job duties may result in discipline up to and including discharge.

©2024 Wine & Dine Hospitality Inc.

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