How to use or fill out Notice and Acknowledgement of Pay Rate and Payday Under Section 195.1 of the New York State Labor Law
- Click ‘Get Form’ to open it in the editor.
- Begin by filling in the Employer Information section. Enter the employer's name, DBA name if applicable, and FEIN (optional).
- In the Employee’s Pay Rate section, specify the hourly pay rate clearly. Ensure this is accurate as it reflects your compensation.
- Indicate any allowances taken such as tips, meals, or lodging. If none apply, select 'None'.
- Fill in the Regular payday field to indicate how often you will be paid (weekly, bi-weekly, etc.).
- Complete the Overtime Pay Rate section with the appropriate amount per hour. Remember that this must meet legal requirements.
- In the Employee Acknowledgement section, confirm receipt of this notice by signing and dating it.
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