Wage and leave underpayments under WA state employment laws By completing this form, you are providing information to Industrial Inspectors in the Private Sector Labour Relations Compliance team at the Department of Mines, Industry Regulation and Safety. You can use this form to make an anonymous report about: Underpayments of the minimum wage and WA award pay rates for employees working for businesses in the state industrial relations system Non-payment or underpayment of annual leave or long service entitlements for employees working for businesses in the state industrial relations system. Long service leave underpayment for employees working in businesses that are in the national industrial relations system. You can use this form to make a report about yourself, or another person. Page 1 of 2