
Get the free FLSA State Share Payments. Attestation - health ny
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Attachment 5
NEW YORK STATE DEPARTMENT OF HEALTH
OFFICE OF HEALTH INSURANCE PROGRAMS
CONSUMER DIRECTED FISCAL INTERMEDIARY
Attestation of Compliance with Fair Labor Standards Act (FLEA) Funding
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How to fill out flsa state share payments

How to fill out FLSA state share payments:
01
Start by gathering all relevant information and documents, including the FLSA state share payment form, payroll records, and state-specific guidelines.
02
Carefully review your payroll records and calculate the amount of FLSA state share payment owed. This calculation typically involves determining the total number of hours worked by eligible employees and multiplying it by the applicable state minimum wage rate.
03
Complete the FLSA state share payment form accurately and thoroughly. Provide all requested information, including your business name, address, employer identification number, and contact details.
04
Enter the specific payment period covered by the FLSA state share payment, ensuring it aligns with the corresponding payroll records.
05
Calculate the total amount owed for the FLSA state share payment and enter it in the appropriate section of the form. Double-check your calculations to avoid any errors.
06
Attach any required supporting documents, such as payroll records or state-specific forms, as specified by the state government.
07
Review the completed form and supporting documents for accuracy and completeness. Make any necessary revisions or additions before finalizing the submission.
08
Submit the FLSA state share payment form and any supporting documents to the appropriate state government agency responsible for handling these payments. Ensure you meet all deadlines and follow any additional instructions provided by the agency.
Who needs FLSA state share payments:
01
Employers who operate in states that have implemented a state minimum wage rate higher than the federal minimum wage are generally required to make FLSA state share payments.
02
Businesses that have employees covered by the Fair Labor Standards Act (FLSA) and pay them less than the state minimum wage need to submit FLSA state share payments to make up for the wage difference.
03
Employers who fail to pay their employees the applicable state minimum wage are obligated to make FLSA state share payments to rectify any wage violations and ensure compliance with state labor laws.
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What is flsa state share payments?
FLSA state share payments are payments made by states to cover their share of costs under the Fair Labor Standards Act (FLSA) which sets minimum wage, overtime pay, recordkeeping, and youth employment standards.
Who is required to file flsa state share payments?
States are required to file FLSA state share payments.
How to fill out flsa state share payments?
FLSA state share payments can be filled out online through the Department of Labor's website or by mail using the appropriate forms.
What is the purpose of flsa state share payments?
The purpose of FLSA state share payments is to ensure that states contribute their fair share towards enforcing and implementing the FLSA standards.
What information must be reported on flsa state share payments?
Information such as total wages paid, number of employees, hours worked, and any exemptions claimed must be reported on FLSA state share payments.
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