Download New York 112 Template in PDF Open New York 112 Editor Now

Download New York 112 Template in PDF

The New York 112 form serves as a crucial document for employees engaged in construction projects under the auspices of the NYC Department of Parks & Recreation. This form ensures that workers are informed of their rights regarding prevailing wages and supplemental benefits, as mandated by state labor laws. By signing the form, employees acknowledge their understanding of these rights and the recourse available should their employers fail to comply.

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Similar forms

  • New York State Form W-2: This form reports an employee's annual wages and the taxes withheld from their paycheck. Like the New York 112 form, it ensures compliance with labor laws and provides essential information about compensation.
  • New York State Form 1099: Used for reporting income earned by independent contractors. Similar to the New York 112, it addresses wage compliance, though it is focused on non-employee compensation.
  • New York State Labor Law Compliance Form: This document confirms that employers are adhering to labor laws, similar to the New York 112, which emphasizes the prevailing wage requirement for specific projects.
  • NYC Department of Buildings Permit Application: This form is required for construction projects in New York City. Like the New York 112, it ensures that all regulations are followed during the project.
  • Employee Handbook Acknowledgment: Employees sign this document to confirm they have received and understood the company’s policies. The New York 112 also requires acknowledgment of wage rights and responsibilities.
  • New York State Unemployment Insurance Claim: This form allows individuals to claim unemployment benefits. It shares similarities with the New York 112 in that both deal with employee rights and protections.
  • Workers' Compensation Claim Form: This document is used to report workplace injuries. Like the New York 112, it focuses on employee rights and employer responsibilities in relation to compensation.
  • NYC Paid Sick Leave Notice: Employers must provide this notice to inform employees of their rights regarding paid sick leave. Similar to the New York 112, it is designed to educate employees about their entitlements.

Guide to Filling Out 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 city projects. Follow these steps carefully to complete the form correctly.

  1. Begin by writing your full name in the space provided at the top of the form.
  2. Enter your social security number in the designated area.
  3. Provide your residential address in the space provided.
  4. Next, indicate the name of your employer in the appropriate section.
  5. Fill in the name of the NYC Department of Parks & Recreation construction project you are working on.
  6. Write the contract number related to your project.
  7. Enter the registration number for the project.
  8. Specify the borough where the project is located.
  9. Identify your trade classification and write it in the designated space.
  10. Fill in the prevailing wage rate you are entitled to earn per hour.
  11. Write the supplemental benefit amount you are entitled to receive per hour.
  12. Sign and date the form in the section labeled "Employee’s Signature & Date."
  13. Print your name in the space provided below your signature.
  14. Have your employer sign and date the form in the designated area.
  15. Your employer should print their name and title in the appropriate spaces.
  16. Finally, have the form notarized by a notary public on the specified dates.

Once you have completed the form, submit it to the Borough Director or Resident Engineer as indicated at the bottom of the form. Ensure that all information is accurate to avoid any issues with compliance.