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The New York 112 form is an essential document for employees working on construction projects overseen by the NYC Department of Parks & Recreation. This form ensures that workers are informed about their rights regarding prevailing wages and supplemental benefits under New York State Labor Law. When filling out the form, employees must provide their personal information, including their name, Social Security number, and address. They also need to specify the project they are working on, along with the contract and registration numbers. A crucial aspect of the form is the acknowledgment of the prevailing wage rate specific to the employee's trade classification, which is vital for ensuring fair compensation. Additionally, the form outlines the employee's right to file complaints if their employer fails to pay the correct wages or benefits. This provision empowers workers to advocate for themselves and seek resolution through the appropriate channels. Finally, both the employee and employer must sign the form, and it must be notarized to validate the information provided. Understanding the New York 112 form is important for employees to protect their rights and ensure compliance with labor laws.

Similar forms

The New York Form 112 is an important document used in the context of labor law compliance, specifically concerning prevailing wages for employees working on public projects. Several other documents share similarities with this form, as they also pertain to wage compliance, labor rights, or contractor responsibilities. Below are five such documents, each highlighting a specific aspect of their relationship to the New York 112 form.

  • Prevailing Wage Schedule: This document outlines the specific wage rates and benefits that workers are entitled to under state law. Like the New York 112 form, it ensures that employees are informed about their rights and the compensation they should receive for their labor on public projects.
  • Employee Wage Verification Form: This form serves to confirm the wages paid to employees on a project. It is similar to the New York 112 in that it requires acknowledgment from the employee regarding their pay and ensures compliance with wage laws, fostering transparency between employers and workers.
  • Notice of Employee Rights: This document informs employees of their rights under labor laws, including the right to receive prevailing wages. It parallels the New York 112 form by emphasizing the importance of employee awareness regarding their entitlements and the procedures for reporting violations.
  • Contractor Compliance Statement: This statement is often required from contractors to affirm that they are adhering to labor laws, including paying the appropriate wages. Similar to the New York 112 form, it holds employers accountable for their wage practices and reinforces the legal obligations they must fulfill.
  • Complaint Form for Wage Violations: This form allows employees to formally report any discrepancies or violations regarding their wages. It aligns with the New York 112 form by providing a mechanism for workers to seek recourse if they believe their rights have been infringed upon, thus promoting accountability in wage practices.

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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

Common mistakes

Filling out the New York 112 form correctly is crucial for ensuring compliance with labor laws. However, individuals often make mistakes that can lead to delays or complications. Here are seven common errors to avoid.

One frequent mistake is leaving the social security number blank. This number is essential for identification and verification purposes. Without it, the form may be considered incomplete, resulting in processing delays.

Another common error occurs when individuals fail to provide accurate project details. Specifically, not filling in the project name, contract number, or registration number can cause confusion. These details are vital for linking the employee to the specific project and ensuring proper wage compliance.

People also sometimes neglect to specify their trade classification. This is a critical piece of information that determines the applicable wage rates. Forgetting to include this can lead to receiving incorrect pay, which is a violation of labor laws.

Additionally, employees may overlook the wage and supplemental benefit amounts. Leaving these fields blank or entering incorrect figures can complicate wage disputes later. It is essential to ensure that these amounts reflect the current prevailing wage rates.

Another mistake involves misunderstanding the rights outlined in the form. Failing to acknowledge the right to file a complaint if wages are not paid correctly can lead to missed opportunities for resolution. Employees should be fully aware of their rights and the procedures for reporting issues.

Moreover, signatures can be a source of errors. Not signing the form or providing an illegible signature can invalidate the submission. It is important to ensure that all required signatures are present and clearly written.

Finally, individuals sometimes forget to submit the form to the correct address. Not sending it to the Borough Director or Resident Engineer can result in further delays in processing. Always double-check the submission guidelines to ensure compliance.

By being aware of these common mistakes, employees can better navigate the New York 112 form process and protect their rights under labor law.

More About New York 112

  1. What is the purpose of the New York 112 form?

    The New York 112 form is designed to ensure compliance with labor laws regarding prevailing wages in construction projects managed by the NYC Department of Parks & Recreation. It serves as a declaration from employees that they understand their rights to receive fair wages and benefits as stipulated by law.

  2. Who needs to fill out the New York 112 form?

    Any employee working on a NYC Department of Parks & Recreation construction project is required to complete the New York 112 form. This includes workers in various trade classifications who are entitled to prevailing wages as defined by New York State Labor Law.

  3. What information is required on the form?

    The form requires several key pieces of information, including:

    • Your name and social security number.
    • Your address.
    • The name of your employer.
    • The specific construction project name and contract number.
    • Your trade classification.
    • The prevailing wage and supplemental benefit amounts.
  4. What are prevailing wages and supplemental benefits?

    Prevailing wages are the minimum hourly wages that must be paid to workers in specific trades on public works projects. Supplemental benefits may include additional payments for health insurance, retirement plans, or other benefits. These rates are established to ensure fair compensation for laborers.

  5. What should I do if my employer does not pay me the correct wages?

    If you believe your employer has failed to pay you the appropriate prevailing wage or supplemental benefits, you have the right to take action. You can file a complaint with the NYC Department of Parks & Recreation and also with the New York City Office of the Comptroller against your employer.

  6. How do I submit the New York 112 form?

    Once you have completed the form, it must be submitted to the Borough Director or the Resident Engineer associated with your project. Make sure to keep a copy for your records.

  7. Is there a deadline for submitting the form?
  8. What happens if I don’t fill out the form?

    Failing to complete the New York 112 form may jeopardize your rights to receive the correct wages and benefits. It is crucial to fill out the form to ensure compliance with labor laws and to protect your interests as an employee on a public works project.

Misconceptions

Here are ten common misconceptions about the New York 112 form, along with clarifications for each:

  1. It is only for specific trades. Many believe the form applies solely to certain trades, but it is required for all workers involved in NYC Department of Parks & Recreation projects, regardless of their trade classification.
  2. Only full-time employees need to fill it out. This form must be completed by all workers on the project, including part-time and temporary employees.
  3. Employers automatically pay the prevailing wage. Some think that employers will always comply with wage requirements. However, it is crucial for employees to verify that they are being paid correctly according to the prevailing wage schedule.
  4. The form is optional. Many assume that filling out the form is optional, but it is a necessary requirement for compliance with labor laws on public projects.
  5. Filing a complaint is complicated. While some may feel intimidated by the complaint process, it is straightforward. Employees have the right to report wage violations without facing retaliation.
  6. Only the employer can submit the form. This is incorrect; employees can also submit the form to ensure their rights are protected.
  7. The supplemental benefits are not mandatory. Some believe these benefits are optional. In fact, they are part of the prevailing wage requirements and must be paid as specified.
  8. All NYC projects require the same wage rates. Wage rates can vary based on the specific project and trade classification. It is essential to refer to the prevailing wage schedule for accurate rates.
  9. Once submitted, the form cannot be changed. This misconception overlooks the fact that if there are errors or changes in employment status, the form can be amended as needed.
  10. The form is only relevant during the project’s completion. In reality, the rights and obligations outlined in the form continue to apply even after the project has concluded, particularly concerning wage disputes.

Key takeaways

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

  • Accurate Information is Essential: Ensure that all personal details, including your name, social security number, and address, are filled out correctly. Any inaccuracies can lead to delays or complications.
  • Understand Your Wage Rights: Familiarize yourself with the prevailing wage and supplemental benefits associated with your trade classification. This knowledge empowers you to advocate for fair compensation.
  • Know Your Complaint Rights: If your employer fails to pay the correct wage or benefits, you have the right to file a complaint. This can be done with both the NYC Department of Parks & Recreation and the New York City-Office of the Comptroller.
  • Proper Submission is Key: Once completed, submit the form to the appropriate Borough Director or Resident Engineer. Timely submission ensures that your rights are protected under the law.

New York 112: Usage Guide

Follow these steps to accurately complete the New York 112 form. Ensure that all information is correct and legible. Once filled out, submit the form to the appropriate authority as indicated.

  1. Begin by entering your name in the blank space after "I, _________________________."
  2. Provide your social security number in the designated space.
  3. Fill in your residential address where indicated.
  4. Write the name of your employer in the space provided after "presented to me by my employer ____________________."
  5. State the name of the NYC Department of Parks & Recreation construction project you are working on.
  6. Enter the contract number associated with the project.
  7. Fill in the registration number for the project.
  8. Indicate the borough where the project is located.
  9. Write your trade classification in the blank space provided.
  10. Enter the prevailing wage amount you are entitled to per hour.
  11. Fill in the supplemental benefit amount you are entitled to per hour.
  12. Sign and date the form where indicated for the employee's signature.
  13. Print your name in the space provided after "Print Employee’s Name."
  14. Have your employer sign and date the form in the designated area.
  15. Print your employer's name where indicated.
  16. Complete the notary section by providing the date and having a notary public sign it.

After completing these steps, review the form for accuracy. Ensure all required signatures are present before submission. Submit the form to the Borough Director or Resident Engineer as instructed.