Form Dol Lw 30 PDF Details

In the realm of employment and labor welfare within Suffolk County, the Dol Lw 30 form represents a critical tool designed to bolster adherence to the Living Wage Law, as delineated in Suffolk County Code, Chapter 575 (2001). Crafted for use by the Suffolk County Department of Labor, Licensing & Consumer Affairs, this document facilitates the process for managing agencies to apply for additional hardship assistance on behalf of contracted agencies. The form lays out a structured method for these agencies to detail their rationale behind the request for extra funding, underscoring the framework within which the county assesses and responds to such financial distress claims. Its design ensures the submission is accompanied by a Dol Lw 29 form completed by the employer seeking relief, thereby streamlining the compliance and assistance protocol. With spaces allocated for essential information such as the managing agency's representative, contact details, and the specific amount of assistance being requested, the Dol Lw 30 form embodies a crucial step in the bureaucratic pathway toward securing a living wage for employees under contracts facing financial hardship challenges.

QuestionAnswer
Form NameForm Dol Lw 30
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other nameslw30 living wage law suffolk county code chapter 575 2001 form

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Steven Bellone

Samuel Chu

Suffolk County Executive

Commissioner

SUFFOLK COUNTY DEPARTMENT OF LABOR, LICENSING & CONSUMER AFFAIRS

HARDSHIP ASSISTANCE AUTHORIZATION FORM

Living Wage Law, Suffolk County Code, Chapter 575 (2001)

To be completed by Managing Agency and forwarded to Local Law Compliance Unit

MANAGING AGENCY ______________________

REPRESENTATIVE

____________________

ADDRESS

________________________________

TELEPHONE

____________________

 

____________________________________________________________________________

CONTRACT AGENCY ____________________________________

 

ADDRESS

____________________________________

 

 

____________________________________

 

Rationale for application for additional hardship assistance from the County of Suffolk:

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

This agency recommends additional funding in the amount of________________ for

_________________________________________.

______________________________

________________________

Signature

Date

__________________________________

 

Print Name & Title

 

THIS FORM MUST ACCOMPANY ANY DOL-LW 29 SUBMITTED BY A COVERED EMPLOYER

DOL-LW-30 3/13

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