The New York 112 form holds significant importance in the realm of labor law compliance within the City of New York, specifically within the Department of Parks & Recreation. Designed to ensure that employees are paid the prevailing wage, it encapsulates key information such as the employee's name, social security number, residence, project details including the contract and registration number, as well as the trade classification and corresponding wage rates. The form requires both employee and employer acknowledgements, signed and notarized, to affirm that the employee has been informed of their rights to receive wages as per the New York State Labor Law, Section 220. It also outlines the steps an employee can take should their employer fail to pay the correct wages, including filing a complaint with the NYC Department of Parks & Recreation and the New York City-Office of the Comptroller. The formalization of this process through the New York 112 form aims to protect employees engaged in construction projects by ensuring transparency and facilitating the enforcement of their rights to fair compensation.
| Question | Answer |
|---|---|
| Form Name | New York Form 112 |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | form_112_emp_pr ev_wage_acknowl edgment nyc department of parks and recreationlabor law compliance form |
City of New York |
Form 112 |
|
|
Parks & Recreation |
|
N.Y.C Department of Parks & Recreation
Labor Law Compliance
EMPLOYEE PREVAILING WAGE REQUIREMENT
1). I, _________________________, social security number _____________ residing at
_______________________________________have received and read the Prevailing Wage Schedule
NYS Labor Law, Section 220 presented to me by my employer ____________________.
2). I am currently performing work on a NYC Department of Parks & Recreation construction project known as ___________________________________________________, Contract No:_____________,
Registration No: ___________________ in the borough of _______________.
3). I am aware that my trade classification, __________________________, entitles me to the prevailing
Wage of $____ per hour and the supplemental benefit of $____ per hour.
4). I am also aware that if for any reason my employer fails to pay me the applicable wage rate and/or Supplemental benefit rate for my trade, it is my right to file a complaint with the NYC Department of Parks & Recreation; and file a complaint with the New York
__________________________________ |
_____________________________ |
(Employee’s Signature & Date) |
Print Company’s name |
__________________________________ |
By:__________________________ |
(Print Employee’s Name) |
(Employer Signature & Date) |
|
Title:__________________________ |
|
___________________________________ |
|
(Employer Printed Name) |
Sworn to me on this ____day of |
Sworn to me on this ____day of |
______________, 2010 |
______________, 2010 |
________________________ |
_______________________ |
Notary Public |
Notary Public |
|
|
|
|
Submit Form To: Borough Director, Resident Engineer |
Revised 03/2010 |