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Captures employer and employee identification details, pay frequency and designated payday, and any allowances claimed as part of wages such as tips, meals, or lodging. Includes sections for tipped employees, minimum/living wage basis, pay and overtime rate information, prevailing rate job classifications, agency enforcement contact, and employee/employer signatures. 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Also, all gratuities received by the employee must be retained by the employee. This employee (will or will not) participate in the following company tip pool:\u003Cbr>Tip Pool Policy: (Explain if applicable) |  |\n\n\n| Section 5 |  |\n| --- | --- |\n| Basis of Wage Payment |  |\n| □ Minimum Wage □ Living Wage □ Living Wage Exempt □ Employer Determined Wage Rate |  |\n| Pay Basis:   (hourly, shift, day, week, salary, piece, commission) |  |\n| □ Hourly | □ Multiple Rates or Basis (for each type of basis) |\n| Rate of Pay:   per hour\u003Cbr>Overtime Rate of Pay*   per hour\u003Cbr>□ Overtime Pay Exemption for bona fide\u003Cbr>□ Administrative\u003Cbr>□ Executive\u003Cbr>□ Professional | Rate of Pay:   per   Overtime Rate:  \u003Cbr>Rate of Pay:   per   Overtime Rate:  \u003Cbr>Rate of Pay:   per   Overtime Rate:  \u003Cbr>* No employer shall employ any employee for a workweek that is longer than 40 hours, unless the employee receives compensation for employment in excess of 40 hours at a rate not less than 1 ½ times the regular rate at which the employee is employed. |\n| Section 6 |  |\n| □ Prevailing Rate (if Applicable) |  |\n| Prevailing Rate Jobs: Your rate of pay will be the posted rate for the classification(s) listed.\u003Cbr>Classification 1:   Prevailing Rate:   Classification 2:   Prevailing Rate:   Classification 3:   Prevailing Rate:   |  |\n| Section 7 |  |\n| The Department of Employment Services, specifically the Office of Wage-Hour (OWH), is to be contacted as that office is the designated enforcement agency for the concerns about safety, wage and hour, or discrimination. The OWH can be contacted at 202-671-1880 or via e-mail [at](at owh.ask@dc.gov . The office)[ ](at owh.ask@dc.gov . The office)[owh.ask@dc.gov](at owh.ask@dc.gov . The office)[ . The office](at owh.ask@dc.gov . The office) is located at 4058 Minnesota Avenue, NE, Suite 4300 Washington, D.C. 20019. The office is open Monday –Thursday 8:30-4:30 and Friday 9:30-4:30 . |  |\n| Section 8 |  |\n| Employee Acknowledgement: By signing below, I acknowledge that I have received the foregoing information regarding my pay and my Employer. I told my employer what my primary language is:\u003Cbr>Check one:\u003Cbr>English\u003Cbr>□ I have been given this pay notice in English.\u003Cbr>Other Language\u003Cbr>□   I have been given this pay notice in English only, because Office of Wage-Hour does not yet offer a pay notice\u003Cbr>form in my primary language.\u003Cbr>Employee’s Signature:   Date / / \u003Cbr>Employer’s Signature:   Date / /  |  |\n\nThe Department of Employment Services provides templates for several common types of pay agreements, including dual language notices","cbCaii6PK2qOgRC2","https://ap.wps.com/l/cbCaii6PK2qOgRC2","pdf",429550,"English","# Notice of Hire\n## Employer and Employee Information\n## Pay Frequency and Pay Day\n## Allowances Claimed As Part of Wages\n## Tipped Employees\n## Basis of Wage Payment\n## Prevailing Rate (if applicable)\n## Department of Employment Services Contact\n## Employee Acknowledgement\n# Instructional Guide","[{\"question\":\"What information must be completed in Section 1 for Employer and Employee?\",\"answer\":\"Section 1 requires completing all employer and employee fields, including company/employer details and the employee’s name and addresses (physical and mailing) plus phone contact.\"},{\"question\":\"How should the pay frequency and payday be specified?\",\"answer\":\"Section 2 requires indicating the frequency for regularly scheduled wage payments (e.g., weekly, bi-weekly) and the specific payday day of the week when wages are payable/available.\"},{\"question\":\"What must be included under “Basis of Wage Payment” in Section 5?\",\"answer\":\"Section 5 requires selecting the wage basis (minimum wage, living wage, living wage exempt, or employer-determined wage rate), specifying the pay basis type(s) (hourly, shift, salary, piece, commission, etc.), and providing the actual rate(s). It also requires overtime rate information or a stated exemption with the reason.\"}]","Notice of Hire - Employment Status and Acknowledgement of Wage Rate(s) | PDF",1789564752]