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The New York 112 form is an essential document for employees engaged in construction projects under the jurisdiction of the New York City Department of Parks & Recreation. This form serves as a declaration of the employee's understanding of their rights regarding prevailing wages, as mandated by New York State Labor Law, specifically Section 220. It requires employees to acknowledge receipt of the Prevailing Wage Schedule, ensuring they are informed about the wage rates and supplemental benefits applicable to their specific trade classification. Additionally, the form outlines the employee's right to file complaints if their employer fails to adhere to the wage requirements. The form captures vital information, including the employee's name, social security number, trade classification, and details about the construction project, such as its name and contract number. By signing this document, both the employee and employer affirm their commitment to compliance with labor laws, underscoring the importance of fair compensation in the construction industry.

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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

Form Specifications

Fact Name Details
Purpose The New York 112 form ensures compliance with prevailing wage laws for employees working on NYC Department of Parks & Recreation projects.
Governing Law This form is governed by New York State Labor Law, specifically Section 220.
Employee Rights Employees have the right to file a complaint if their employer fails to pay the required wage or supplemental benefits.
Required Information Employees must provide their name, social security number, trade classification, and details of the project they are working on.
Submission The completed form must be submitted to the Borough Director or Resident Engineer of the NYC Department of Parks & Recreation.

New York 112: Usage Guidelines

Completing the New York 112 form is a straightforward process. This form is essential for employees working on construction projects managed by the NYC Department of Parks & Recreation. It ensures that workers are aware of their rights regarding prevailing wages and supplemental benefits. Follow the steps below to fill out the form correctly.

  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 current address in the space labeled "residing at."
  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. Fill in the contract number and registration number associated with the project.
  7. Indicate the borough where the project is located.
  8. Specify your trade classification in the designated space.
  9. Enter the prevailing wage amount you are entitled to per hour.
  10. Fill in the supplemental benefit amount you are entitled to per hour.
  11. Sign and date the form in the space labeled "Employee’s Signature & Date."
  12. Print your company’s name where indicated.
  13. Print your name in the area labeled "Print Employee’s Name."
  14. Your employer should sign and date the form in the section labeled "Employer Signature & Date."
  15. Have your employer print their name in the space provided for "Employer Printed Name."
  16. Finally, the notary public will need to complete their section, including the date.

After completing the form, submit it to the Borough Director or the Resident Engineer as specified. Ensure that all sections are filled out accurately to avoid any delays in processing.

Your Questions, Answered

What is the purpose of the New York 112 form?

The New York 112 form is designed to ensure compliance with prevailing wage laws for employees working on construction projects managed by the NYC Department of Parks & Recreation. This form serves as a declaration by the employee, confirming that they have received and understood the prevailing wage schedule as outlined in New York State Labor Law, Section 220. It helps protect workers by ensuring they are aware of their rights regarding wage rates and supplemental benefits while working on public projects.

Who needs to fill out the New York 112 form?

Employees who are engaged in construction work for projects under the NYC Department of Parks & Recreation must complete the New York 112 form. This includes any worker who is classified under a specific trade and is entitled to receive the prevailing wage and supplemental benefits associated with that trade. Employers are responsible for providing this form to their employees and ensuring it is properly filled out and signed.

What should I do if my employer fails to pay the prevailing wage?

If you find that your employer has not paid you the prevailing wage or the supplemental benefit rate for your trade, you have the right to take action. First, you should file a complaint with the NYC Department of Parks & Recreation. Additionally, you can also file a complaint with the New York City Office of the Comptroller. These steps help protect your rights and ensure that you receive the compensation you are entitled to under the law.

How do I submit the New York 112 form?

After completing the New York 112 form, it should be submitted to the appropriate authority. Specifically, you need to send it to the Borough Director or the Resident Engineer associated with the project. Make sure to keep a copy for your records. This submission is crucial for maintaining compliance with labor laws and ensuring that all parties are informed of the wage requirements.

Common mistakes

  1. Failing to provide complete personal information. Ensure that your full name, social security number, and address are accurately filled in.

  2. Neglecting to include the name of your employer. It is crucial to specify the employer's name as it appears in official records.

  3. Omitting the details of the construction project. Clearly state the project name, contract number, and registration number to avoid confusion.

  4. Incorrectly identifying your trade classification. Make sure to select the correct trade classification that corresponds with your work.

  5. Leaving the wage and supplemental benefit fields blank. Fill in the applicable wage rate and supplemental benefits to ensure compliance.

  6. Not being aware of your rights. Familiarize yourself with your rights regarding wage payments and the process for filing complaints.

  7. Failing to sign and date the form. Both the employee and employer must provide signatures and dates to validate the document.

  8. Neglecting to print the employer's name. This detail is essential for proper identification of the employer in the document.

  9. Overlooking the notary requirement. Ensure that the form is notarized as required, as this adds a layer of authenticity.

  10. Submitting the form to the wrong office. Always verify that the form is sent to the appropriate Borough Director or Resident Engineer.

Documents used along the form

The New York 112 form is an important document related to labor law compliance for employees working on construction projects managed by the New York City Department of Parks & Recreation. Along with this form, there are several other documents that are often required to ensure compliance with labor laws and to protect the rights of workers. Below is a list of these documents, each accompanied by a brief description.

  • Prevailing Wage Schedule: This document outlines the minimum wage rates and supplemental benefits for various trades and occupations as mandated by New York State labor law. It is essential for employees to understand the rates applicable to their specific trade.
  • Employer Registration Form: This form is required for employers to register with the New York City Department of Parks & Recreation. It provides essential information about the employer's business and its compliance with labor laws.
  • Employee Complaint Form: If an employee believes they have not been paid the prevailing wage or benefits, this form allows them to formally file a complaint with the NYC Department of Parks & Recreation or the Office of the Comptroller.
  • Contractor's Affidavit: This document is a sworn statement from the contractor affirming compliance with all applicable labor laws, including payment of prevailing wages to employees working on the project.
  • Payroll Records: Employers must maintain accurate payroll records that document hours worked and wages paid to each employee. These records may be requested for review by regulatory agencies.
  • Notice of Prevailing Wage Rates: This notice must be posted at the job site, informing employees of their rights and the prevailing wage rates for their specific trade, ensuring transparency and awareness.
  • Wage Theft Prevention Act Notice: Employers are required to provide this notice to employees, detailing their rights regarding wages and benefits, along with the employer's obligations under New York State law.
  • Collective Bargaining Agreement (CBA): If applicable, this agreement outlines the terms and conditions of employment negotiated between the employer and a labor union, including wage rates and benefits for union members.
  • Worksite Safety Plan: This document outlines the safety measures and protocols that must be followed on the job site to protect workers, in compliance with OSHA regulations.
  • Notarized Affidavit of Compliance: This is a sworn statement that may be required from contractors, affirming that they have complied with all relevant labor laws and regulations throughout the duration of the project.

Understanding these documents can significantly aid employees in navigating their rights and responsibilities within the construction industry. Proper completion and submission of these forms not only ensure compliance but also help in fostering a fair working environment for all involved.

Similar forms

The New York 112 form is primarily used for labor law compliance regarding prevailing wages in city construction projects. Several other documents serve similar purposes, ensuring that employees are informed about their rights and wage entitlements. Here are four documents that share similarities with the New York 112 form:

  • New York State Wage Theft Prevention Act Notice: This notice informs employees of their rights regarding wages and benefits. Like the New York 112 form, it requires employers to provide clear information about pay rates and entitlements, ensuring transparency in wage practices.
  • Employee Rights Under the Fair Labor Standards Act (FLSA): This document outlines employee rights concerning minimum wage and overtime pay. Similar to the New York 112 form, it emphasizes the importance of compliance with wage laws and provides employees with the necessary information to protect their rights.
  • Prevailing Wage Rate Schedule: This schedule details the prevailing wage rates for various trades and occupations. Much like the New York 112 form, it ensures that workers are aware of the wages they are entitled to based on their trade classification, fostering compliance with labor laws.
  • Notice of Employee Rights Under New York Labor Law: This notice informs employees about their rights under various labor laws, including wage entitlements. It parallels the New York 112 form by emphasizing the right to file complaints if wage violations occur, thereby protecting workers’ interests.

Dos and Don'ts

When filling out the New York 112 form, there are some important dos and don'ts to keep in mind. Here’s a helpful list to guide you through the process.

  • Do read the entire form carefully before starting to fill it out.
  • Do ensure that all personal information, including your name and social security number, is accurate.
  • Do double-check the contract and registration numbers before submitting.
  • Do sign and date the form where indicated to confirm your understanding.
  • Do submit the completed form to the appropriate Borough Director or Resident Engineer.
  • Don't leave any sections blank; incomplete forms may cause delays.
  • Don't provide false information; this could lead to serious consequences.
  • Don't forget to keep a copy of the completed form for your records.
  • Don't rush through the process; take your time to ensure accuracy.
  • Don't hesitate to ask for help if you are unsure about any part of the form.

Misconceptions

Here are five misconceptions about the New York Form 112 that you should be aware of:

  • Misconception 1: The form is only for certain types of workers.
  • This form applies to all employees working on NYC Department of Parks & Recreation construction projects, regardless of their specific trade. Every worker entitled to a prevailing wage must complete it.

  • Misconception 2: Signing the form means you waive your rights.
  • Signing the New York Form 112 does not mean you give up your rights. In fact, it reinforces your right to receive the prevailing wage and benefits. It also informs you of your ability to file complaints if those wages are not paid.

  • Misconception 3: The prevailing wage is fixed and does not change.
  • The prevailing wage is subject to change based on various factors, including the specific trade and location. It is important to check the most current wage schedule to ensure you are aware of your entitlements.

  • Misconception 4: You cannot file a complaint if you signed the form.
  • Signing the form does not prevent you from filing a complaint against your employer for failing to pay the correct wages or benefits. In fact, the form explicitly states your right to take action if your employer does not comply.

  • Misconception 5: The form is optional for employees.
  • Completing the New York Form 112 is not optional for employees working on applicable projects. It is a required document that ensures compliance with labor laws regarding prevailing wages.

Key takeaways

The New York 112 form is essential for employees working on construction projects under the NYC Department of Parks & Recreation. Here are some key takeaways regarding its completion and use:

  • Accurate Information is Crucial: Ensure that all personal details, including your name, social security number, and address, are filled out correctly. Any inaccuracies can lead to complications in wage payments.
  • Understand Your Rights: Familiarize yourself with the prevailing wage and supplemental benefits you are entitled to based on your trade classification. This knowledge empowers you to advocate for fair compensation.
  • Know the Complaint Process: If your employer fails to pay the correct wages or benefits, you have the right to file a complaint with both the NYC Department of Parks & Recreation and the New York City Office of the Comptroller.
  • Submission Requirements: After completing the form, submit it to the appropriate Borough Director or Resident Engineer. Keep a copy for your records to track your compliance and any future disputes.