A. An employee shall serve his or her employer with a Notice to Employer of Intent to Claim Lien for Unpaid Wages on a form that contains the information specified in §B of this regulation, a sample of which may be found on the Department's website.
B. The form shall include the following:
(1) The name and address of the individual seeking a lien;
(2) The name of the business or individual for whom the employee performed work;
(3) The dates of employment;
(4) The dates for which wages are due but were not paid;
(5) The basis for the claim that wages were due but were not paid;
(6) The monetary amount of the lien sought;
(7) The real or personal property, or both, against which the lien is sought along with a description adequate to identify the property, name of owner, and location; and
(8) Notice to the employer of their right to dispute the lien by filing a complaint within 30 days of receipt of the notice.
C. An employee shall serve the employer by:
(1) Delivering personally a copy of the Notice to Employer of Intent to Claim Lien for Unpaid Wages to the employer;
(2) Leaving a copy of the Notice to Employer of Intent to Claim Lien for Unpaid Wages at the employer’s home or place of dwelling with a resident of suitable age and discretion; or
(3) Mailing a copy of the Notice to Employer of Intent to Claim Lien for Unpaid Wages to the employer by certified mail requesting, “Restricted Delivery—Show to whom, date, and address of delivery”.