DOL INVESTIGATION DOCUMENT REQUEST RESPONSE
PURPOSE
This template assists employers in organizing and responding to document requests from the U.S. Department of Labor Wage and Hour Division during FLSA investigations. Proper document organization and response procedures help ensure compliance while protecting employer interests.
IMPORTANT: Section 11(a) of the FLSA authorizes DOL representatives to investigate and gather data concerning wages, hours, and other employment practices. Covered employers are generally required to make wage and hour records available upon request without a subpoena.
SECTION 1: INVESTIGATION INFORMATION
DOL Contact Information
WHD District Office: [________________________________]
Office Address:
[________________________________]
[________________________________]
Assigned Investigator: [________________________________]
Investigator Title: [________________________________]
Telephone: ([____]) [____]-[____]
Email: [________________________________]
WHD Case Number: [________________________________]
Investigation Details
Date of Initial Contact: [__/__/____]
Date Document Request Received: [__/__/____]
Investigation Period: [__/__/____] to [__/__/____]
Document Production Deadline: [__/__/____]
Type of Investigation:
☐ Complaint-driven investigation
☐ Directed (targeted) investigation
☐ Self-audit/PAID Program
☐ Follow-up investigation
☐ Unknown
Scope of Investigation:
☐ Minimum wage compliance
☐ Overtime compliance
☐ Exemption classification
☐ Recordkeeping
☐ Child labor
☐ FMLA (if applicable)
☐ Other: [________________________________]
SECTION 2: EMPLOYER INFORMATION
Company Name: [________________________________]
DBA (if applicable): [________________________________]
EIN: [____]-[____]
Business Address:
[________________________________]
[________________________________]
Mailing Address (if different):
[________________________________]
[________________________________]
Primary Contact Person: [________________________________]
Title: [________________________________]
Telephone: ([____]) [____]-[____]
Email: [________________________________]
Legal Representation
☐ Company has retained legal counsel for this investigation
Attorney Name: [________________________________]
Firm Name: [________________________________]
Address: [________________________________]
Telephone: ([____]) [____]-[____]
Email: [________________________________]
Bar Number: [________________________________]
SECTION 3: DOCUMENTS REQUESTED
Standard Document Categories
Based on the DOL's request, check all document categories requested:
Payroll Records
☐ Payroll registers/journals for all employees
☐ Pay stubs/earnings statements
☐ Wage rate history/pay rate changes
☐ Bonus and commission records
☐ Tip records and tip pool distributions
☐ Deduction authorizations
☐ Direct deposit records
☐ Garnishment orders and records
Time and Attendance Records
☐ Time cards/time sheets
☐ Electronic timekeeping records
☐ Badge swipe/clock-in records
☐ Work schedules (posted and actual)
☐ Leave requests and approvals
☐ Overtime authorization forms
☐ Time adjustment/correction forms
Employee Information
☐ Employee roster/list
☐ Personnel files
☐ Job applications
☐ I-9 forms
☐ W-4 forms
☐ New hire paperwork
☐ Performance evaluations
☐ Disciplinary records
Job Classifications
☐ Job descriptions
☐ Organizational charts
☐ FLSA exemption classification determinations
☐ Salary/position grades
☐ Job duty questionnaires
Policies and Procedures
☐ Employee handbook
☐ Wage and hour policies
☐ Overtime policies
☐ Timekeeping policies
☐ Meal and rest break policies
☐ Tip pooling policies
☐ On-call policies
☐ Travel time policies
☐ Training time policies
Contracts and Agreements
☐ Employment agreements
☐ Independent contractor agreements
☐ Collective bargaining agreements
☐ Temporary staffing agreements
☐ Commission agreements
☐ Bonus plans
Child Labor (If Applicable)
☐ Age certificates/work permits
☐ Minor work schedules
☐ Parental consent forms
☐ School enrollment verification
Other Documents
☐ Business licenses
☐ Corporate structure documents
☐ Workers' compensation insurance
☐ Previous DOL correspondence
☐ Other: [________________________________]
SECTION 4: DOCUMENT COLLECTION CHECKLIST
Internal Coordination
☐ Document preservation hold issued to all relevant departments
☐ Human Resources notified
☐ Payroll department notified
☐ IT department notified (for electronic records)
☐ Operations/management notified
☐ Legal counsel notified
☐ Collection deadline communicated to all parties
Document Collection Status
| Document Category | Responsible Party | Location | Collection Status | Collection Date |
|---|---|---|---|---|
| Payroll records | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Time records | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Personnel files | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Job descriptions | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Policies | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Contracts | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
| Other | [____________] | [____________] | ☐ Complete ☐ In Progress ☐ Not Started | [__/__/____] |
SECTION 5: DOCUMENT REVIEW AND PREPARATION
Pre-Production Review
☐ Documents reviewed for responsiveness to request
☐ Documents reviewed for completeness
☐ Documents reviewed for accuracy
☐ Privileged documents identified and segregated
☐ Confidential/trade secret documents identified
☐ Documents organized chronologically within categories
☐ Documents Bates-stamped or numbered
☐ Duplicate copies made for employer's records
Documents Requiring Special Handling
Privileged Documents
☐ Attorney-client privileged documents identified
| Document Description | Privilege Asserted | Basis |
|---|---|---|
| [________________________________] | ☐ Attorney-Client ☐ Work Product | [________________________________] |
| [________________________________] | ☐ Attorney-Client ☐ Work Product | [________________________________] |
Note: Prepare privilege log if withholding documents on privilege grounds.
Confidential Business Information
☐ Trade secrets identified
☐ Proprietary information identified
☐ Documents marked "CONFIDENTIAL - PROPRIETARY"
Request for confidential treatment submitted: ☐ Yes ☐ No
Documents Not in Employer's Possession
| Document Description | Reason Not Available | Alternative Source |
|---|---|---|
| [________________________________] | [________________________________] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] |
SECTION 6: PRODUCTION LOG
Document Production Summary
Production Date: [__/__/____]
Method of Production:
☐ In-person delivery
☐ Mail
☐ Electronic submission
☐ Uploaded to DOL portal
☐ Other: [________________________________]
Production Index
| Bates Range | Document Description | Date Range | Number of Pages |
|---|---|---|---|
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
| [____]-[____] | [________________________________] | [__/__/____] - [__/__/____] | [____] |
Total Pages Produced: [________________________________]
SECTION 7: DOCUMENT TRANSMITTAL LETTER
[Date]
U.S. Department of Labor
Wage and Hour Division
[________________________________]
[________________________________]
Re: Document Production - WHD Case No. [________________________________]
Dear [________________________________]:
On behalf of [________________________________] ("Company"), I am providing documents responsive to the Wage and Hour Division's request dated [__/__/____].
Documents Produced
Enclosed please find [____] pages of documents, Bates-numbered [____] through [____], responsive to your request. The documents are organized as follows:
- Payroll Records (Bates [____]-[____]): [Description]
- Time and Attendance Records (Bates [____]-[____]): [Description]
- Personnel Records (Bates [____]-[____]): [Description]
- Policies and Procedures (Bates [____]-[____]): [Description]
- [Additional Categories] (Bates [____]-[____]): [Description]
Documents Withheld
☐ No documents have been withheld.
☐ The following documents have been withheld:
[________________________________]
Basis for Withholding: [________________________________]
Documents Not in Possession
☐ All responsive documents in the Company's possession have been produced.
☐ The following documents are not in the Company's possession, custody, or control:
[________________________________]
Confidentiality Request
The Company requests that all documents produced be treated as confidential business information under the Freedom of Information Act, 5 U.S.C. § 552, and applicable DOL regulations. These documents contain proprietary business information, and the Company would suffer competitive harm if the documents were publicly disclosed.
Extension Request (If Applicable)
☐ The Company requests an extension of [____] days to produce the following additional documents:
[________________________________]
Reason for Extension: [________________________________]
Reservation of Rights
The Company reserves the right to supplement this production as additional responsive documents are identified. The production of these documents does not constitute an admission regarding any matter.
Contact Information
Please direct any questions regarding this production to:
Name: [________________________________]
Title: [________________________________]
Telephone: ([____]) [____]-[____]
Email: [________________________________]
We appreciate the opportunity to cooperate with the investigation.
Respectfully submitted,
_______________________________________
Signature
[________________________________]
Printed Name
[________________________________]
Title
Date: [__/__/____]
Enclosures: As described above
cc: [Attorney Name, if applicable]
SECTION 8: PRODUCTION BEST PRACTICES CHECKLIST
Before Production
☐ Verified all requested documents have been collected
☐ Confirmed documents cover entire investigation period
☐ Reviewed documents for accuracy and completeness
☐ Removed documents not specifically requested
☐ Marked confidential documents appropriately
☐ Created production index/log
☐ Made complete copies for employer's files
☐ Legal counsel reviewed production (if retained)
During Production
☐ Obtained receipt from investigator (if in-person)
☐ Confirmed delivery method and address
☐ Noted date and time of production
☐ Identified any issues or questions raised
After Production
☐ Filed copy of transmittal letter
☐ Preserved complete set of produced documents
☐ Calendared any follow-up deadlines
☐ Documented any verbal communications
SECTION 9: FOLLOW-UP TRACKING
Supplemental Requests
| Date Received | Description of Request | Deadline | Status |
|---|---|---|---|
| [__/__/____] | [________________________________] | [__/__/____] | ☐ Complete ☐ Pending |
| [__/__/____] | [________________________________] | [__/__/____] | ☐ Complete ☐ Pending |
| [__/__/____] | [________________________________] | [__/__/____] | ☐ Complete ☐ Pending |
Communications Log
| Date | Method | Participants | Summary |
|---|---|---|---|
| [__/__/____] | ☐ Phone ☐ Email ☐ In-person | [____________] | [________________________________] |
| [__/__/____] | ☐ Phone ☐ Email ☐ In-person | [____________] | [________________________________] |
| [__/__/____] | ☐ Phone ☐ Email ☐ In-person | [____________] | [________________________________] |
SECTION 10: INTERNAL NOTES
Issues Identified During Document Collection
[________________________________]
Potential Compliance Concerns
[________________________________]
Action Items
☐ [________________________________]
☐ [________________________________]
☐ [________________________________]
SOURCES AND REFERENCES
- 29 CFR Part 516 - Records to Be Kept by Employers
- DOL Fact Sheet #21 - Recordkeeping Requirements
- 29 U.S.C. § 211(a) - Investigation Authority
This template is provided for informational purposes only. Employers should consult with qualified legal counsel before responding to any DOL document request.
About This Template
Jurisdiction-Specific
This template is drafted for general use across all U.S. jurisdictions. State-specific versions with local statutory references are also available.
How It's Made
Drafted using current statutory databases and legal standards for compliance regulatory. Each template includes proper legal citations, defined terms, and standard protective clauses.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: February 2026