State of Oregon Payroll Errors

State of Oregon Payroll Errors

Information Collection Survey
Who we are

We are attorneys at the law firm of Albies, Stark & Guerriero. We are collecting information about the 2023 paycheck errors that affected State of Oregon employees.
What this form is for

Our law firm and the law firm of Bennett Hartman, LLP filed a lawsuit against the State of Oregon on behalf of a union member whose paycheck contained an error. We are collecting information about other State employees whose paychecks contained errors to find out how widespread the problem is and to prepare for a possible class action lawsuit. You do not have to fill out this form.
Disclaimer

Filling out this form does not create an attorney-client relationship with the law firms of Albies, Stark & Guerriero or Bennett Hartman. That means we are not agreeing to represent you or be your lawyer.
Contact
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Mailing address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Agency and worksite
What State agency do you work for?*
What department do you work in?
What is your primary office address? If you work remotely, list your work address.
Employment status
What is your State employment status?*

I am a current State employeeI am a former State employee
What was the last date you worked for the State?
Have you received your final paycheck?

YesNo
Did you final paycheck include all the wages you were owed?

YesNo
What was missing from your final paycheck?
Paycheck problems
Were you paid too much?

Yes, I was overpaidNo, I was not overpaid
Were there errors in your deductions?

YesNo
Which deductions were wrong?

TaxesUnion duesOther (please describe)
Was part of your pay missing from your paycheck?

Yes, some of my pay was missingNo, I received the right pay
What was the problem?

I was paid for the right number of hours, but the pay rate was wrongI wasn’t paid my shift differential, or the pay was incorrectI wasn’t paid for overtime I workedOther (please describe)
Which rate was wrong?

RegularOvertimeSick payVacationOther (please describe)
Was your paycheck missing altogether?

Yes, my paycheck was missingNo, I received my paycheck
Which paycheck was missing?

I get paid monthly, and my check was missingI get paid twice a month, and my mid-month check was missingI get paid twice a month, and both of my checks were missingOther (please describe)
How did you get paid?

I normally get direct deposit, but I got a physical check insteadI got direct deposit like I normally doI got a physical check, and that's how I normally get my checkOther (please describe)
Was there a problem with your health insurance premium?

Yes, the State failed to pay my premiumNo, the State paid my premium like normalI do not have health insurance through the StateOther (please describe)
Have you lost health coverage as a result of payroll problems?

Yes, I lost my coverageNo, I kept my coverage
If there was another problem with your paycheck, please tell us about it here.
Resolution
Did you notify anyone at the State about the problem with your paycheck?

Yes, I notified someoneNo, I didn't notify anyone
Who did you notify?
When did you notify them?
Has the State fixed the problem?

Yes, they fixed itNo, they didn't fix it
When was the problem fixed?
Other questions
Are you a member of a union?

Yes, I'm a union memberNo, I'm not a union member
Which union?
Are you hourly or salaried?

HourlySalaried
Optional Questions
May we include your name in a notice of a class action and wage claim to the state?

Yes, include my name (requires your signature)No, don't include my name
By signing below, I affirm that:
1. I understand that the law firms of Albies, Stark & Guerriero & Bennett Hartman will send a letter to the State of Oregon giving notice of class action claims for failure to properly pay wages owed, making improper deductions from wages, or otherwise improperly complying with requirements regarding payment of wages. The letter will demand that the State of Oregon promptly pay any unpaid wages or penalties owed, and put the State on Notice that you and other individuals may bring a claim for damages.
2. I understand that I may be asked to participate in the class action lawsuit. However, I have no obligation to do so, nor does Albies, Stark & Guerriero or Bennett Hartman have any obligation to represent me. By signing below, I am only giving permission to use my name in the letter to the State of Oregon and confirm that I agree to use my name for the purpose of providing notice.
3. I understand that at any time I may rescind permission by calling (503) 308-4770 or sending an email to lisa@albiesstark.com.
By signing here, I affirm the statements above.

Clear
Would you like us to contact you about participating in a possible class-action lawsuit against the State of Oregon?

Yes, please contact me about participating in a possible class actionNo, please do not contact me
Are you interested in talking to the media about the problem with your paychecks? (If you answer "yes," we will get your permission before sharing your name with any media outlet.)

Yes, I am interested in talking to the mediaNo, I don't want to talk to the media
Required affirmation
I understand that filling out this form does not create an attorney-client relationship with the law firms of Albies, Stark & Guerriero or Bennett Hartman. I know that I can revoke any permissions that I have given by contacting Albies, Stark & Guerriero at (503) 308-4770 or sending an email to mona@albiesstark.com.*

Yes, I understand
Should be Empty:

State of Oregon Payroll Errors

Who we are

What this form is for

Disclaimer

Contact

Agency and worksite

Employment status

Paycheck problems

Resolution

Other questions

Optional Questions

Required affirmation