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In the heart of New York, an essential document bridges the gap between employers and employees, ensuring transparency and understanding regarding employment conditions. The NY Notice form, as mandated under Section 195.1 of the New York State Labor Law, serves as a critical tool for communicating specific job details between parties. This requirement encompasses a broad range of employer information, including the physical and mailing addresses of the workplace, in this instance, represented by Barnard College. The form meticulously outlines the procedure for notifying employees about their pay rate, including variations for different types of work or shifts, any allowances such as tips, meals, or lodging, and the regularity and method of their payday. Equally important is the provision related to the acknowledgment of overtime rates, calculated under specific regulations to ensure fair compensation for hours worked beyond the traditional workweek. The form further facilitates communication by requiring the acknowledgment of receipt by the employee, verifying they understand their pay rate, overtime eligibility, allowances, and payday, and confirms that this information has been provided in the employee's primary language where possible. This level of detail exemplifies the commitment to clarity, compliance, and fairness in the employer-employee relationship within New York State, reinforcing legal obligations while fostering an informed workforce.

Ny Notice Sample

Please fill in Sections 2, 3, and 8. Sign and Date.

1.Employer Information

Name: Barnard College

Physical Address:

117th Street and Broadway New York, New York 10027

Mailing Address:

3009 Broadway

New York, New York 10027 Phone: 212-854-2033

2.Notice Given:

At hiring

On or before February 1

Before a change in pay rate(s), allowances claimed or payday

Notice and Acknowledgement of Pay Rate and Payday Under Section 195.1 of the New York State Labor Law

Notice for Hourly Rate Employees

3.Employee’s rate s of pay for each type of work or shift:

__________ for _______________________

Hourly RateJob Title

__________ for _______________________

Hourly RateJob Title

__________ for _______________________

Hourly Rate

Job Title

4. Allowances taken:

None

Tips __ per hour Meals __ per meal Lodging ______

Other __________________

5. Regular payday: Friday

6. Pay is: Bi-weekly

7. Overtime Pay Rate(s) for each type of

work or shift: N/A times the worker’s weighted This must be at least 1½

average of the multiple rates of pay for the week, with few exceptions. The weighted average is the total regular pay divided by the total hours worked in the week. The overtime rate may vary from week to week depending on how many hours you worked at each rate of pay. The overtime rate may vary from week to week.

8.Employee Acknowledgement:

On this day I have been notified of my pay rate, overtime rate (if eligible), allowances, and designated payday on the date given below. I told my employer what my primary language is.

Check one:

I have been given this pay notice in English because it is my primary language.

My primary language is ________________________. I have been given this pay notice in English only, because the Department of Labor does not yet offer a pay notice form in my primary language.

Print Employee Name

Employee Signature

Date

Won Kang

Associate Director for Student Employment_______

Preparer Name and Title

The employee must receive a signed copy of this form. The employer must keep the original for 6 years.

Please return the original to Career Development (2nd Floor of Elliott Hall) immediately. Copies can be made for you at the office. Thank you.

File Overview

Fact Detail
1. Governing Law Section 195.1 of the New York State Labor Law
2. Purpose Notice and Acknowledgement of Pay Rate and Payday
3. Applicability Hourly Rate Employees
4. Notice Requirements Given at hiring, on or before February 1, or before a change in pay rate(s), allowances, or payday
5. Information Required Employer Information, Employee's rate(s) of pay, Allowances taken, Regular payday, Pay frequency, Overtime Pay Rate(s)
6. Allowances Options None, Tips, Meals, Lodging, Other
7. Pay Structure Regular payday is Friday, Pay is bi-weekly
8. Employee Acknowledgement Employee must acknowledge receipt of pay rate, overtime rate, allowances, and payday information
9. Record Keeping The employer must keep the original form for 6 years

Ny Notice: Usage Guidelines

Filling out the NY Notice Form is an important step that ensures compliance with Section 195.1 of the New York State Labor Law. This process not only keeps records straight but also guarantees that the employee understands their pay rate, deductions, and payday details clearly. The task might seem daunting at first, but with careful attention to detail, it can be accomplished easily. Let's dive into the steps required to fill out this form properly. Remember, accuracy here is key to a smooth process for both employer and employee.

  1. Locate Section 2 titled "Notice Given" and check the box that aligns with the timing of the notice. If the form is being provided at the time of hiring, check the "At hiring" box. If it's being given for another reason, check the appropriate box based on the situation.
  2. Move to Section 3, "Employee’s rate(s) of pay for each type of work or shift". Input the respective hourly rates next to each job title or type of work. If there are multiple rates for different jobs or shifts, ensure each is clearly indicated.
  3. In Section 8, "Employee Acknowledgement", the employee must acknowledge that they have been informed of their pay rate, allowances, and designated payday. Here, the employee should check the box that represents their situation regarding the receipt and understanding of the notice.
  4. Ensure the employee prints their name in the designated space, then signs and dates the form to validate the acknowledgment.
  5. The "Preparer Name and Title" section should be completed by the individual assisting with or responsible for filling out the document, typically an HR representative or the employer.
  6. Once the form is filled out, it's crucial to follow through with the next steps to ensure compliance and proper record-keeping. The employee should be provided with a signed copy of the form for their records. At the same time, the employer must keep the original document for at least six years, as stipulated by law. To complete the process, the original form should be returned to the designated office, as mentioned in the form instructions, without delay. Remember, keeping copies in both parties' possession not only provides proof of compliance but also ensures transparency and trust in the employment relationship.

FAQ

  1. What is the purpose of the NY Notice form?

    The NY Notice form serves as a formal document designed to inform employees about their pay rate, payday, overtime rate (if applicable), and any allowances they are entitled to under Section 195.1 of the New York State Labor Law. This notice ensures transparency between employers and employees regarding payment agreements.

  2. Who needs to fill out the NY Notice form?

    Employers are required to have their employees fill out Sections 2, 3, and 8 of the NY Notice form. It is essential for ensuring that employees acknowledge their employment terms, including their pay rate(s), payday, and any applicable allowances or deductions.

  3. When should the NY Notice form be given to employees?

    The form should be provided to employees:

    • At the time of hiring before they commence their employment.
    • On or before February 1st of each year if there are annual updates.
    • Before any change in pay rate(s), allowances, or payday.

  4. What information is required in Section 3 of the form?

    Section 3 requires information about the employee's rate of pay for each type of work or shift they might perform, alongside their corresponding job title. This section is crucial for clarifying the employee's compensation for different roles or shifts they might undertake.

  5. What does it mean by "Allowances taken" in the form?

    "Allowances taken" refers to certain deductions from the base pay that an employer might apply, such as for tips, meals, lodging, or other items. The form clearly differentiates those who do not have any allowances (marked as "None") from those who do, ensuring transparency in how the pay is calculated.

  6. How is the overtime pay rate determined according to the form?

    The overtime pay rate is calculated as at least 1½ times the worker's weighted average of the multiple rates of pay for the workweek, with few exceptions. This average is found by dividing the total regular pay by the total hours worked in the week. The form indicates that the overtime rate may vary depending on the number of hours worked at each rate of pay.

  7. What is the significance of the Employee Acknowledgement in Section 8?

    Section 8 is crucial for confirming that the employee has been informed about their pay rate, overtime eligibility, allowances, and payday. It also involves the employee indicating their primary language for communication purposes. This section ensures that employees are aware of their employment terms and that these terms have been communicated effectively.

  8. How long must the employer keep the original NY Notice form?

    Employers are required to keep the original signed copy of the NY Notice form for 6 years. This requirement helps ensure that there is a record of the terms of employment and that it remains accessible for reference in case of any disputes or audits.

Common mistakes

When filling out the NY Notice form, there are common mistakes that can lead to misunderstandings or non-compliance with New York State Labor Law. Being mindful of these errors can save individuals and organizations from potential legal complications. Here are six mistakes often made:

  1. Not filling out Sections 2, 3, and 8 as specifically instructed. These sections are vital for acknowledging the notice of pay rate, overtime, and payday information, which are essential parts of employment documentation under Section 195.1 of the New York State Labor Law.
  2. Omitting the choice of notice given in Section 2, whether at hiring, on or before February 1st, or before a change in pay rates, allowances claimed, or payday. This detail is crucial for documenting the timing and compliance of the notice given in relation to the employment or changes in employment terms.
  3. Inaccurately documenting the employee’s rate of pay for each type of work or shift in Section 3. It's vital to specify the correct hourly rate and job title for each type of work or shift to ensure transparency and adherence to agreed-upon pay rates.
  4. Overlooking to check the appropriate allowances taken in Section 4, such as tips, meals, lodging, or others. This information is necessary for calculating the correct pay and ensuring that all allowances are properly documented and agreed upon.
  5. Failure to correctly identify the regular payday in Section 5 and whether the pay is bi-weekly in Section 6. Accurately stating the payday schedule helps in maintaining a clear understanding between the employer and employee regarding the timing of wage payments.
  6. Not obtaining the necessary employee acknowledgment in Section 8, including the employee’s signature and date. This acknowledgment is a critical element of the form, confirming that the employee has been notified of their pay rate, overtime rate (if eligible), allowances, and designated payday.

Avoiding these mistakes not only ensures compliance with the labor law but also promotes a transparent and harmonious working relationship between employers and employees. It is imperative for both parties involved to thoroughly review and accurately complete the NY Notice form to uphold the standards set forth by New York State Labor Law.

Documents used along the form

When handling employment paperwork, particularly in New York, it's essential to ensure all necessary documents are accurately filled out and submitted. Alongside the NY Notice Form, several other forms and documents are often required to comply with state regulations and to maintain a transparent relationship between employers and employees. Here is a detailed list of these documents.

  • Form W-4: The Employee's Withholding Certificate is a critical document for tax purposes. It determines how much federal income tax is withheld from an employee's paycheck. Each employee needs to fill this out so employers can withhold the correct federal income tax from their pay.
  • Form I-9: The Employment Eligibility Verification Form is required by the Department of Homeland Security. This document verifies the employee's identity and eligibility to work in the United States. Both the employer and the employee must complete their respective sections of the form.
  • Direct Deposit Authorization Form: This form is not mandatory but commonly used. It allows employers to deposit an employee's wages directly into their bank account. Employees must provide their account information and may need to attach a voided check.
  • Employee Handbook Acknowledgment Form: Although not a legal requirement, it's a good practice. This form is an acknowledgment from employees that they have received, read, and agree to abide by the policies in the company's employee handbook. It helps establish clear expectations and guidelines for professional conduct.

Together with the NY Notice Form, these documents lay the groundwork for a comprehensive compliance and communication strategy between employers and employees. It's crucial for businesses to stay updated on the requirements for these documents to ensure legal compliance and foster a positive working environment.

Similar forms

The "Notice and Acknowledgement of Pay Rate and Payday" form required by Section 195.1 of the New York State Labor Law shares similarities with the Federal W-4 form. The W-4 form, used for determining the amount of taxes to be withheld from an employee's paycheck, similarly requires employees to provide personal and financial information at the time of hiring. Both forms are designed to ensure that employees are aware of their pay structure and any deductions from their wages, fostering transparency between employers and employees regarding financial compensation.

Another document that bears resemblance to the NY Notice form is the I-9 Employment Eligibility Verification form. This federal form is required for all U.S. employees to verify their identity and legal authorization to work in the United States. Like the NY Notice form, the I-9 is completed when an individual is hired and requires both employee and employer information. Both forms are crucial in the new hire paperwork process, ensuring compliance with employment laws.

An Employee Handbook Acknowledgement Receipt also shares characteristics with the NY Notice form. When an employee receives a handbook, they are often asked to sign an acknowledgement receipt indicating they understand the policies and procedures of their new workplace. Similar to the NY Notice form, this process promotes an understanding of expectations and rights, here specifically related to company policies rather than pay details. Both forms function as mutual acknowledgment between the employee and employer about significant aspects of the employment relationship.

The Job Offer Letter is a document that precedes the need for a NY Notice form and is inherently connected to it by content. It outlines the initial employment offer, including job description, pay rate, and schedule, which the employee then acknowledges and accepts. The NY Notice form can be seen as a formal follow-up to the offer letter, providing specific legal documentation of the agreed-upon pay rate and payday, reinforcing the details first outlined in the job offer. Both documents serve to confirm the employment terms between the employer and the employee.

Lastly, the Employee's Withholding Allowance Certificate, specific to individual states, is similar to the NY Notice form in that it also deals with pay details, specifically regarding state tax withholding rates. While this form focuses more on how much state tax should be withheld from an employee's paycheck, it complements the information in the NY Notice form by detailing another aspect of the employee's net pay. Both forms are integral in ensuring employees understand their pay structure and the deductions that affect their take-home pay.

Dos and Don'ts

When filling out the NY Notice form, it's essential to pay attention to detail and follow regulations to ensure compliance with New York State Labor Law Section 195.1. Here are several dos and don'ts to guide you through the process:

Dos:

  1. Ensure that all required sections, specifically Sections 2, 3, and 8, are fully completed with accurate information.
  2. Sign and date the form as instructed to validate the information provided.
  3. Use clear and legible handwriting or type the information to avoid misunderstandings or processing delays.
  4. Verify that the employee’s rate(s) of pay for each type of work or shift are correctly entered in Section 3, ensuring transparency and adherence to agreement.
  5. Double-check the allowances section, and accurately denote if there are none or specify any that are applicable, to prevent any later disputes.
  6. Provide the form to the employee on time, especially at hiring, before February 1, or before any change in pay rate(s), allowances claimed, or payday, as indicated in Section 2.
  7. Keep a copy of the completed and signed form as required by law, ensuring it’s stored securely for at least 6 years.

Don'ts:

  • Do not skip any of the sections that are specified to be filled in; incomplete forms may not comply with legal requirements.
  • Do not forget to offer the employee a copy of the completed form; it is mandatory they receive one for their records.
  • Do not assume the employee’s primary language; confirm with them to ensure there is clear understanding and compliance with the law.
  • Avoid making unauthorized changes to the form layout or content outside of the provided fields, as this could result in non-compliance.
  • Do not provide outdated information; ensure all details, especially pay rate(s) and paydays, are current as of the date the form is signed.
  • Do not disregard the overtime pay rate section; even if not applicable, it must be acknowledged correctly to avoid future legal issues.
  • Do not hold onto the signed original for longer than necessary. Ensure it is promptly returned to the appropriate office or department as indicated.

Misconceptions

Understanding the NY Notice Form, officially known as the "Notice and Acknowledgement of Pay Rate and Payday Under Section 195.1 of the New York State Labor Law," is essential for both employers and employees within the state. However, several misconceptions about this document can lead to misunderstandings and non-compliance with labor laws. Here, we clarify some of the most common misunderstandings.

  • Notice is only required at the time of hiring: While the form must be provided to employees at the time of hire, it is also required when any changes to pay rate(s), allowances, or payday occur. This ensures ongoing transparency between employers and employees.

  • Only hourly employees need to be notified: Although the provided example focuses on hourly rate employees, New York State law requires that all employees, regardless of their pay basis (e.g., salary, commission, etc.), receive notice of their pay rate and payday.

  • Employers do not need to keep a signed copy: Contrary to this belief, employers are required to keep the original signed notice for at least six years. This serves as evidence of compliance with the law should any disputes arise.

  • The notice form is only necessary in English: While the example shows an English form, employers must provide the notice in the employee's primary language if a template is available from the New York State Department of Labor. English notices are acceptable only when a translated version is not available.

  • The form is a simple administrative task without legal importance: This form is a critical legal document. It serves not just as an administrative record but as a fundamental part of ensuring that employees are fully informed of their employment terms in accordance with state law.

  • Completion of Sections 2, 3, and 8 is sufficient for compliance: While the instruction highlights these sections, thorough and accurate completion of the entire form is crucial. Employers must ensure that all relevant sections are filled out to comply fully with the law.

  • All allowances must be claimed: The form allows for the identification of allowances such as tips, meals, and lodging. However, claiming allowances is conditional upon the employer's policy and the nature of the work. It is not mandatory for all employees to have allowances.

  • Overtime rates are constant: The overtime pay rate may change weekly as it is calculated based on the weighted average of multiple rates of pay for the week. This detail underscores the importance of accurately tracking and calculating overtime rates for employees working at different pay rates.

In conclusion, understanding the nuances of the NY Notice Form is crucial for both employees and employers to ensure compliance with New York State Labor Laws. Misunderstandings can lead to unintended legal issues, underscoring the need for diligence and accuracy in completing and maintaining these documents.

Key takeaways

Understanding the NY Notice Form is essential for both employers and employees to comply with New York State Labor Law. Here are nine key takeaways for correctly filling out and using this important document:

  • Filling in Sections 2, 3, and 8 is mandatory. These sections provide crucial details about the notice given, employee's pay rate, and employee acknowledgement.
  • Employers must select when the notice was given: at hiring, on or before February 1, or before a change in pay rates, allowances, or payday. This ensures transparency in communication.
  • The form requires a detailed description of the employee’s rate(s) of pay for each type of work or shift. This is vital for clarifying compensation expectations.
  • Any allowances such as tips, meals, lodging, or other must be specified. However, if there are none, this should be clearly marked to avoid confusion.
  • A regular payday must be designated, ensuring employees know when to expect their earnings.
  • The document outlines the frequency of pay, such as bi-weekly, helping employees to plan their finances accordingly.
  • For employees eligible for overtime, the form explains how the overtime rate is calculated, often as a time-and-a-half of the weighted average of the rates of pay for the week.
  • Employee acknowledgment is a critical part of the form where the employee confirms understanding of their pay rate, overtime rate, allowances, and payday.
  • The form must be kept by the employer for 6 years, underscoring its importance as a legal document and a record of acknowledgment between the employer and the employee.

By following these guidelines, employers and employees can ensure that they meet their legal obligations and maintain a transparent and fair workplace environment regarding compensation.

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