Blank New York 112 PDF Form

Blank New York 112 PDF Form

The New York 112 form is a document used by employees working on construction projects for the NYC Department of Parks & Recreation. This form ensures that workers are informed of their rights regarding prevailing wages and benefits as mandated by New York State Labor Law. If you are an employee who needs to fill out this form, please click the button below to get started.

The New York 112 form plays a crucial role in ensuring that employees working on construction projects for the New York City Department of Parks & Recreation are compensated fairly according to labor laws. This form serves as a declaration by the employee, confirming their understanding of the prevailing wage requirements as outlined in New York State Labor Law, specifically Section 220. Employees must fill in their personal information, including their name and social security number, as well as details about the specific project they are involved in, such as the contract number and the borough where the work is being performed. Importantly, the form also highlights the employee's trade classification, which determines their entitlement to a specific hourly wage and supplemental benefits. Furthermore, it empowers workers by informing them of their rights; should an employer fail to pay the required wages or benefits, employees can file complaints with the NYC Department of Parks & Recreation or the New York City Office of the Comptroller. The form concludes with signatures from both the employee and the employer, along with a notary public's acknowledgment, adding a layer of verification to the process. This ensures that all parties are aware of their obligations and rights, fostering a fair working environment in the city’s construction sector.

Document Sample

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 City-Office of the Comptroller against my employer.

__________________________________

_____________________________

(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

File Specifics

Fact Name Details
Form Purpose The New York 112 form is used to ensure compliance with prevailing wage requirements for employees working on NYC Department of Parks & Recreation construction projects.
Governing Law This form is governed by New York State Labor Law, specifically Section 220, which outlines the requirements for prevailing wages.
Employee Acknowledgment Employees must acknowledge receipt of the Prevailing Wage Schedule provided by their employer, ensuring they understand their rights regarding wages and benefits.
Project Information Employees must provide specific details about the construction project they are working on, including the project name, contract number, and borough.
Wage Entitlement Employees are informed of their trade classification and the corresponding prevailing wage and supplemental benefits they are entitled to receive.
Complaint Rights If an employer fails to pay the appropriate wage or benefits, employees have the right to file a complaint with both the NYC Department of Parks & Recreation and the New York City-Office of the Comptroller.
Signature Requirements The form requires signatures from both the employee and employer, along with the date and notary verification, to ensure authenticity.

How to Use New York 112

Filling out the New York 112 form is a straightforward process that ensures compliance with prevailing wage requirements for employees working on specific construction projects. The form captures essential information about the employee, their employer, and the project details. Following these steps will help you accurately complete the form.

  1. Begin by entering your full name in the blank space provided at the top of the form.
  2. Fill in your social security number in the designated area.
  3. Provide your residential address in the appropriate section.
  4. Identify your employer by writing their name in the specified area.
  5. Next, state the name of the NYC Department of Parks & Recreation construction project you are currently working on.
  6. Enter the contract number related to the project.
  7. Fill in the registration number for the project.
  8. Specify the borough where the project is taking place.
  9. Indicate your trade classification in the provided space.
  10. Write down the prevailing wage you are entitled to receive per hour.
  11. Fill in the supplemental benefit amount you are entitled to per hour.
  12. Sign and date the form where indicated as the employee.
  13. Print your employer's name in the designated area.
  14. Have your employer sign and date the form where indicated.
  15. Enter the title of your employer in the appropriate space.
  16. Have the employer's printed name recorded as required.
  17. Finally, ensure that a notary public witnesses the signatures and fills in the date.

Once you have completed the form, submit it to the Borough Director or Resident Engineer as specified. Make sure to keep a copy for your records.

Your Questions, Answered

What is the purpose of the New York 112 form?

The New York 112 form is designed to ensure compliance with labor laws related to prevailing wages for employees working on construction projects under the New York City Department of Parks & Recreation. It serves as a declaration from employees confirming their understanding of their rights regarding wage rates and supplemental benefits.

Who needs to fill out the New York 112 form?

Any employee engaged in work on a construction project managed by the NYC Department of Parks & Recreation must complete this form. This includes workers across various trade classifications who are entitled to receive prevailing wages as mandated by New York State Labor Law.

What information is required on the form?

The New York 112 form requires several key pieces of information:

  1. Employee's name and social security number.
  2. Employee's address.
  3. Employer's name.
  4. Details of the construction project, including its name, contract number, and registration number.
  5. Employee's trade classification and the corresponding prevailing wage and supplemental benefit rates.

What rights do employees have regarding wage payments?

Employees have the right to receive the prevailing wage and any supplemental benefits associated with their trade classification. If an employer fails to pay the correct rates, employees can file a complaint with both the NYC Department of Parks & Recreation and the New York City Office of the Comptroller. This ensures that their rights are protected and that they receive fair compensation for their work.

How should the form be submitted?

Once completed, the New York 112 form must be submitted to the appropriate authority. Specifically, it should be sent to the Borough Director or the Resident Engineer overseeing the project. This ensures that the information is recorded and that compliance with labor laws is maintained.

Is there a deadline for submitting the New York 112 form?

While the form does not specify a strict deadline, it is advisable to submit it as soon as possible after starting work on the project. Timely submission helps to ensure that employees are recognized for their rights and that any potential issues regarding wage payments can be addressed promptly.

Common mistakes

  1. Failing to provide accurate personal information. Ensure your name, social security number, and address are correct.

  2. Not including the correct project details. Double-check the project name, contract number, and registration number.

  3. Leaving out your trade classification. This is crucial for determining your wage and benefits.

  4. Neglecting to fill in the prevailing wage and supplemental benefit amounts. These figures must be accurate to avoid issues.

  5. Overlooking your rights regarding wage complaints. Familiarize yourself with the process to file a complaint if necessary.

  6. Not signing and dating the form. An unsigned form may be considered incomplete and can lead to delays.

  7. Failing to provide the employer's information accurately. Ensure the company name and signatures are correct.

  8. Not submitting the form to the correct office. Make sure to send it to the Borough Director or Resident Engineer as instructed.

Documents used along the form

The New York 112 form is essential for ensuring compliance with prevailing wage laws in construction projects under the NYC Department of Parks & Recreation. Alongside this form, several other documents may be required to support the wage compliance process and protect workers' rights. Below is a list of related forms and documents that are often used in conjunction with the New York 112 form.

  • Prevailing Wage Schedule: This document outlines the wage rates and supplemental benefits applicable to various trades and occupations. It is crucial for employees to understand their entitlements based on their classification.
  • Contractor Registration Form: This form is required for contractors to register with the NYC Department of Parks & Recreation. It verifies that the contractor is authorized to work on city projects and comply with labor laws.
  • Employee Complaint Form: If an employee believes they have not been paid the correct prevailing wage, they can submit this form to initiate a formal complaint against their employer.
  • Payroll Records: Employers must maintain accurate payroll records that detail hours worked, wages paid, and classifications of each employee. These records serve as evidence of compliance with wage laws.
  • Affidavit of Compliance: This sworn statement confirms that the contractor has complied with all applicable labor laws, including payment of prevailing wages. It may be required for project completion.
  • Notice of Prevailing Wage Rates: This notice must be posted at the job site. It informs employees of their rights and the prevailing wage rates for their specific trade.
  • Subcontractor Agreement: This document outlines the terms between the primary contractor and any subcontractors. It ensures that subcontractors are also aware of and comply with prevailing wage laws.
  • Wage Theft Prevention Act Notice: Employers must provide this notice to employees, informing them of their rights regarding wage payments, including the right to receive the prevailing wage.
  • Certification of Payment of Prevailing Wages: This certification, often required at project completion, confirms that all workers were paid in accordance with prevailing wage laws throughout the project duration.

These documents play a critical role in ensuring transparency and compliance with labor laws. Understanding each form's purpose helps protect workers and uphold their rights in the workplace.

Similar forms

The New York 112 form is similar to the New York State Department of Labor’s Form LS-222, which also addresses prevailing wage requirements. Like the 112 form, LS-222 is used to inform employees about their rights regarding wages on public works projects. Both forms require employees to acknowledge receipt of wage schedules and outline the specific wages and benefits they are entitled to based on their trade classification. This ensures that workers are aware of their rights and can take action if they are not compensated appropriately.

Another document that shares similarities with the New York 112 form is the Federal Wage Determination form, often used in federally funded projects. This form provides wage rates for various job classifications, similar to the prevailing wage schedule in the 112 form. Both documents serve to protect workers by ensuring they receive fair compensation for their labor. Employees must be informed of these rates before starting work, allowing them to understand their earnings and benefits clearly.

The Davis-Bacon Act Wage Determination is another related document. This federal law mandates that workers on public works projects funded by the government receive at least the prevailing wage for their area. The Davis-Bacon form outlines wage rates and classifications, mirroring the requirements found in the New York 112 form. Both documents aim to uphold fair labor standards and provide a framework for employees to report wage violations.

Lastly, the New York City Department of Buildings (DOB) Job Notification form is also comparable. This form is used to notify workers about their rights and responsibilities on construction sites. Like the 112 form, it includes information about prevailing wages and the procedures for reporting wage theft. Both forms emphasize transparency and worker rights, ensuring that employees are informed about their compensation and can seek recourse if necessary.

Dos and Don'ts

When filling out the New York 112 form, it’s important to follow certain guidelines to ensure accuracy and compliance. Here’s a helpful list of what you should and shouldn’t do:

  • Do provide complete and accurate information in all fields.
  • Do double-check the prevailing wage and supplemental benefit amounts before submitting.
  • Do sign and date the form to validate your submission.
  • Do submit the form to the appropriate Borough Director or Resident Engineer.
  • Don’t leave any sections blank, as incomplete forms may be rejected.
  • Don’t use incorrect or outdated wage information; always refer to the latest schedule.
  • Don’t forget to keep a copy of the completed form for your records.
  • Don’t submit the form without ensuring it has been properly notarized, if required.

Misconceptions

Misconceptions about the New York 112 form can lead to confusion for both employees and employers. Here are ten common misunderstandings:

  1. It is optional to fill out the form. Many believe that submitting the New York 112 form is not mandatory. In reality, it is a requirement for employees working on specific city construction projects.
  2. Only certain employees need to complete it. Some think only specific trades or positions require this form. However, any employee working on a NYC Department of Parks & Recreation project must complete it.
  3. The form is only for new hires. Many assume that the New York 112 form is only for new employees. In fact, it should be filled out by any employee engaged in covered work, regardless of their tenure.
  4. Employers are responsible for submitting the form. While employers must ensure their employees receive the form, it is the employee's responsibility to complete and sign it.
  5. The prevailing wage is fixed and cannot change. Some believe that the prevailing wage remains constant. However, it can vary based on the trade and the specific project, so employees should verify their current wage rate.
  6. Filing a complaint is complicated. Many think that reporting wage violations is a lengthy and difficult process. In reality, employees can file complaints directly with the NYC Department of Parks & Recreation or the Office of the Comptroller with relative ease.
  7. Supplemental benefits are optional. Some employees believe that supplemental benefits are not mandatory. This is incorrect; they are part of the prevailing wage requirements.
  8. Notarization is not necessary. There is a misconception that the form does not need to be notarized. However, the signatures of both the employee and employer must be notarized to validate the form.
  9. Only full-time employees need to complete the form. Some think that part-time or temporary workers are exempt. In truth, all employees working on covered projects must fill out the form, regardless of their employment status.
  10. Once submitted, the form does not need to be updated. Many believe that a single submission is sufficient for the duration of a project. However, if any details change, such as the wage rate or project information, the form must be updated and resubmitted.

Key takeaways

Filling out and using the New York 112 form is crucial for ensuring compliance with labor laws related to prevailing wages. Here are some key takeaways to keep in mind:

  • Complete Personal Information: Ensure that your name, social security number, and address are accurately filled out at the beginning of the form.
  • Project Details: Clearly specify the name of the construction project, along with the contract and registration numbers. This information is vital for proper documentation.
  • Trade Classification: Identify your trade classification. This determines your eligibility for the prevailing wage and supplemental benefits.
  • Wage Information: Enter the prevailing wage rate and supplemental benefit amount you are entitled to receive. Double-check these figures for accuracy.
  • Employer Responsibilities: Understand that if your employer fails to pay the correct wage or benefits, you have the right to file complaints with the NYC Department of Parks & Recreation and the Office of the Comptroller.
  • Signature Requirement: Ensure that both you and your employer sign the form. This confirms that both parties acknowledge the information provided.
  • Notary Public: The form must be sworn before a notary public. This step adds an additional layer of validation to the document.
  • Submission Instructions: Submit the completed form to the appropriate Borough Director or Resident Engineer as indicated on the form.

These steps will help ensure that you are properly compensated for your work while complying with New York labor laws.