[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-285311-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-285311-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","notice-and-acknowledgement-of-pay-rate-and-payday-new-york-state-labor-law","Notice and Acknowledgement of Pay Rate and Payday - New York State Labor Law","","This document provides a formal notice and acknowledgement template for employers to communicate pay rates, overtime rates, and designated paydays to hourly employees, in compliance with Section 195.1 of the New York State Labor Law. It includes critical sections for documenting employer details, specific pay schedules, and various allowances such as tips, meals, and lodging. By mandating an employee signature, the form serves as essential documentation of wage notification and legal compliance. It further reinforces the legal prohibition against gender-based pay discrimination and protects an employee's right to discuss wages. Designed for regulatory adherence, this template assists employers in maintaining accurate records for the required six-year period as mandated by state labor regulations, ensuring transparency and legal protection for both parties involved in the employment relationship.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/notice-and-acknowledgement-of-pay-rate-and-payday-new-york-state-labor-law/285311/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/notice-and-acknowledgement-of-pay-rate-and-payday-new-york-state-labor-law/285311.png","ImageObject",442,249,{"name":42,"@type":43},"Emma Wilson","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-03","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of this form?","Question",{"text":63,"@type":64},"This form is used by employers in New York State to formally notify hourly employees of their pay rate, overtime rate, and designated payday, complying with Section 195.1 of the NYS Labor Law.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How long must an employer retain the original copy of this signed form?",{"text":68,"@type":64},"Employers are required to keep the original signed copy of this notice for 6 years.",{"name":70,"@type":61,"acceptedAnswer":71},"What are the employer's obligations regarding wage discussions and equal pay?",{"text":72,"@type":64},"The document notes that it is unlawful to pay employees less than those of the opposite sex for equal work, and employers cannot prohibit employees from discussing their wages with co-workers.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},285311,1790109093,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":136,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":12,"update_tm":140,"read_time":4},3848291630094,"https://eur-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","Notice and Acknowledgement of Pay Rate and Payday Under Section 195.1 of the New York State Labor Law Notice for Hourly Rate Employees  \n1. Employer Information  \nName:  \nDoing Business As (DBA) Name(s):  \nFEIN (optional):  \n-  \nPhysical Address:  \nMailing Address:  \nPhone:  \n( )   -    \n2. Notice given:  \nAt hiring  \nBefore a change in pay rate(s), allowances claimed or payday  \n3. Employee’s rate of pay:  \n$  per hour  \n4. Allowances taken:  \nNone  \nTips:   per hour  \nMeals:   per meal Lodging:   Other:    \n5. Regular payday:    \n6. Pay is:  \nWeekly  \nBi-weekly  \nOther:    \n7. Overtime Pay Rate:  \n$  per hour (This must be at least 1½ times the worker’s regular rate with few exceptions.)  \n8. Employee Acknowledgement:  \nOn this day I have been notified of my pay rate, overtime rate (if eligible), allowances, and designated pay day on the date given below. I told my employer what my primary language is.  \nCheck one:  \nI have been given this pay notice in English because it is my primary language.  \nMy primary language is:   .  \nI 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.  \n\n| Print Employee Name |\n| --- |\n| Employee Signature\u003Cbr>  /   /  \u003Cbr>Date |\n\nPreparer's Name and Title  \nThe employee must receive a signed copy of this form. The employer must keep the original for 6 years.  \nPlease note: It is unlawful for an employee tobe paid less than an employee of the opposite sex for equal work. Employers also may not prohibit employees from discussing wages with their co-workers.  \nLS 54 (12/25)","cbCaimNWL4MMml2d","https://ap.wps.com/l/cbCaimNWL4MMml2d","pdf",86388,"English","# Employer Information\n## Notice Issuance\n# Compensation Details\n## Rate of Pay and Allowances\n## Pay Schedule and Overtime\n# Employee Acknowledgement\n## Language Preference and Signature","[{\"question\":\"What is the purpose of this form?\",\"answer\":\"This form is used by employers in New York State to formally notify hourly employees of their pay rate, overtime rate, and designated payday, complying with Section 195.1 of the NYS Labor Law.\"},{\"question\":\"How long must an employer retain the original copy of this signed form?\",\"answer\":\"Employers are required to keep the original signed copy of this notice for 6 years.\"},{\"question\":\"What are the employer's obligations regarding wage discussions and equal pay?\",\"answer\":\"The document notes that it is unlawful to pay employees less than those of the opposite sex for equal work, and employers cannot prohibit employees from discussing their wages with co-workers.\"}]","Notice and Acknowledgement of Pay Rate and Payday - New York State Labor Law | PDF",1789629776]