LS 54 PDF Details

The employee must receive a signed copy of this form. The employer must keep the original for 6 years.

Notice given: at hiring, or before a change in pay rate(s), allowances claimed or payday.

Overtime pay rate: this must be at least 1½ times the worker's regular rate with few exceptions.

Equal pay: it is unlawful for an employee to be paid less than an employee of the opposite sex for equal work.

Wage discussion: employers also may not prohibit employees from discussing wages with their co-workers.

QuestionAnswer
Form NameLS 54
Form Length1 page
Fillable?Yes
Fillable fields42
Avg. time to fill out7 min
Edition12/25
Keep the originalThe employer, for 6 years
Matches the agency's fileYes, checked October 2, 2026
Other namesLS 54, LS54, LS-54, New York LS 54, Notice for Hourly Rate Employees
Official sourceLS 54 (Rev 12/25), New York State Department of Labor

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