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Ls 62 form

Nys exempt employees 2026

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The document is a Notice and Acknowledgement of Pay Rate and Payday for exempt employees under New York State Labor Law. It outlines employer information, employee pay rates, allowances, regular payday, overtime pay rates, and includes an employee acknowledgment section. The form must be provided at hiring or before any changes in pay, and both the employer and employee must retain copies for record-keeping.

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Click ‘Get Form’ to open the nys exempt employees document in the editor.
Begin by filling in the Employer Information section. Enter the employer's name, DBA name, FEIN (if applicable), and physical address.
In the Employee’s pay rate(s) field, specify whether the pay is based on hourly, salary, day rate, piece rate, or another basis. Ensure clarity as this is crucial for compliance.
Indicate any allowances taken by checking the appropriate boxes for tips, meals, lodging, or other allowances.
Fill in the Regular payday section with the designated payday frequency: weekly, bi-weekly, or other.
Complete the Overtime Pay Rate section if applicable. Specify if this employee is exempt from overtime and under which exemption.
In the Employee Acknowledgement section, ensure that the employee signs and dates the form after reviewing their pay information.

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