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LS 54 (01/17). Notice and Acknowledgement of Pay Rate and Payday. Under Section 195.1 of the New York State Labor Law. Notice for Hourly RateEmployees.
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How to fill out notice for exempt employees

How to fill out notice for exempt employees:
01
Ensure the notice includes the required information such as the employee's name, job title, and exempt status.
02
Indicate the effective date of the notice and any changes that will take effect.
03
Clearly outline the employee's exempt classification and the applicable exemption criteria.
04
Include any specific job duties or responsibilities that support the employee's exempt status.
05
Provide information on the employee's salary or compensation, including any changes that may occur.
06
Clearly communicate any deductions or exemptions that may apply to the employee's pay.
07
Sign and date the notice to establish a record of when it was provided to the employee.
Who needs notice for exempt employees?
01
Employers who have exempt employees, typically those who are classified as exempt under the Fair Labor Standards Act (FLSA).
02
Exempt employees themselves in order to stay informed about their exempt status and any changes in their job duties or pay.
03
Human resources or payroll departments who are responsible for accurately documenting and communicating employee classification and compensation information.
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