1. the employee’s rate or rates of pay
2. the overtime rate of pay, if the employee is subject to overtime regulations
3. the basis of wage payment (per hour, per shift, per week, piece rate, commission, etc.)
4. any allowances the employer intends to claim as part of the minimum wage including tip, meal, and lodging allowances
5. the regular pay day
6. the employer’s name and any names under which the employer does business (DBA)
7. the physical address of the employer’s main office or principal place of business and, if different, the employer’s mailing address
8. the employer’s telephone number

Our New York Notice of Pay Rate satisfies this requirement and we offer the notice in multiple formats so you can choose the one that best suits your workforce.

• New York Notice for Hourly Rate Employees
• New York Notice for Multiple Hourly Rate Employees
• New York Notice for Employees Paid a Weekly Rate
• New York Notice for Employees Paid Salary
• New York Notice for Prevailing Rate and Other Jobs
• New York Notice for Exempt Employees

Product Specifications:

• This form is 8.5" x 11"
• 50 Sheets/Pkg