Notice for Hourly Rate Employees - New York State Department of ... - labor ny 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Employer Information. Fill in the Name, Doing Business As (DBA) Name(s), and optionally, the FEIN.
3. Next, specify the Employee’s rate of pay in the designated field, ensuring you indicate whether it is per hour.
4. Indicate any allowances taken by checking the appropriate boxes such as Tips, Meals, or Lodging and provide details where necessary.
5. Fill in the Regular payday section with both Physical and Mailing Addresses.
6. Select how often pay is distributed: Weekly, Bi-weekly, or Other.
7. Enter the Overtime Pay Rate, ensuring it meets legal requirements of at least 1½ times the regular rate.
8. In the Employee Acknowledgement section, ensure that both Employee Name and Signature are provided along with the date.
9. Finally, complete the Preparer’s Name and Title section before saving or printing your document.

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