.04 Wage Lien Statement.
A Wage Lien Statement shall include the following:
A. A description of the property;
B. The name of the property owner;
C. The monetary amount of the lien;
D. A copy of the Notice to Employer of Intent to Claim Lien for Unpaid Wages and proof of service of the notice; and
E. A copy of a court order establishing the lien for unpaid wages if the lien for unpaid wages is established in a court.