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Wage theft prevention notice

Media services new york state wage theft prevention act form 2026

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The document outlines the requirements of New York Labor Code Section 195(1), which mandates that all employees receive written notice of their pay rate, wage status, and designated payday at the time of hire and annually. It specifies the information that must be included in the notice, such as pay rates for non-exempt and exempt employees, overtime rates, and allowances. The document also includes sections for employee acknowledgment and compliance with the Wage Theft Prevention Act.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the production company or employer's name and FEIN (if applicable) at the top of the form. Fill in the physical and mailing addresses, including city, state, zip code, and phone number.
Next, input the employee's name and email address. Complete their address details as well.
Specify the job/occupation category and hire date. Include the project name or number where applicable.
For non-exempt employees, enter the regular rate(s) of pay per hour and any applicable overtime rates. If exempt, provide the salary basis.
Indicate allowances taken, designated payday, and how notice was given (at hiring, weekly, bi-weekly).
Finally, ensure that both employee acknowledgment sections are completed with signatures and dates before saving your document.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the wage statement form to comply with the New York State wage Protection Act 2011?

New York State Department of Labor Form AL 447 is a blank wage statement. It contains all of the fields that employers of year-round or seasonal workers must provide to document each pay period to comply with the Wage Theft Prevention Act.

What is the wage theft law in NY?

The WTPA provides for higher penalties when an employer fails to pay the wages required by law: 1. Under prior law, liquidated damages only covered up to 25% of the unpaid wages. Now, the law provides for liquidated damages on up to 100% of the unpaid wages.

Can an employer reduce your hourly rate of pay without notice in NY?

For any reduction of wage rate, an employee must be notified in writing prior to the reduction being implemented.

What is the 4 hour rule in NY?

In most cases, restaurant or hotel workers should receive three hours pay at the appropriate minimum wage. Employees in other private workplaces should be paid for four hours of work at the appropriate minimum rate.

What are the paycheck laws in NY?

New York State Labor Law requires manual workers to be paid weekly, and clerical and other workers at least twice per month. For more detailed information, including which employees are covered by this law, please see Frequency of Pay Frequently Asked Questions.

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What is a wage statement?

It serves as proof of income and includes information necessary for financial tracking and tax compliance. Key components of a wage statement include gross earnings, itemised deductions (such as taxes, pension contributions, or health insurance), and net pay (the amount paid after deductions).

What is the New York State wage Protection Act?

The Wage Theft Prevention Act (WTPA) took effect on April 9, 2011. The law requires employers to give written notice of wage rates to each new hire. The notice must include: Rate or rates of pay, including overtime rate of pay (if it applies)