LABOR STATE NY
Labor Law Section 195(1) Notice and Acknowledgement of Wage Rate and Designated Payday Hourly Rate Plus Overtime Employer Company Name ___ FEIN ___ Street address ___ City ___State ___ Zip ___ Phone (___)___ - ___ Preparer's Name ___ Preparer's Title ___ Employee Name ___ Street address ___ Apt Moremisdemeanor (Section 210.45 of the New York State Penal Law). Date: ... A duplicate signed copy of this form is to be provided to the employee. Original must ... Less
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