New York State Website

Employment Laws/Labor Standards

Minimum Wage Poster

Child
Performer
Employment
Agency
Claim
Forms
Farm
Labor
Wage
Orders
Professional Employer
Organizations (PEO)
Other
Publications
Leaflets
and Flyers
 

To print these forms, you need an installed copy of Adobe Acrobat Reader version 4.0 or higher, which is available at no charge from Adobe.

Some of the applications listed on this page ask for certain personal information. The authority to collect this information is found in the New York State Labor Law. This information will be maintained and used to process the application you are filing with the Department. If you do not provide the information, the Department may not be able to process your application.

You may review any information about you that is maintained by the New York State Department of Labor by contacting our Counsels Office at 518 485 4380.


Child Performer

Form Description/Purpose Size Type
LS 550 -- Application for Certificate of Eligibility to Employ Child Performers

This form must be completed by an employer prior to employing any Child Performer.

2 pages pdf
LS 551 -- Verification of Workers' Compensation/Disability Insurance Coverage

This form is to be completed by Payroll Services for applicants for Certificates of Eligibility to Employ Child Performers and submitted with the application along with forms C-105.2 and DB-120.1 from insurance carriers.

1 page pdf
LS 552 -- Combined Application to Employ Child Performers with the Verification of Workers Comp. and Disablity Ins. This form is a combination of form LS 550 Application for Certificate to Employ Child Performers, and form LS 551 Verification of Workers Compensation and Disablity Insurance. 3 pages pdf
LS 555 -- Application for Employment Permit for a Child Performer

This application must be filled out and successfully processed for all Child Performers in New York State before they are hired for any type of performance.

3 pages pdf
LS 560 -- Verification of Satisfactory Academic Performance

This form must be completed by the school district attended by a Child Performer and submitted with an application for a Child Performer Permit.

1 page pdf
LS 561 -- Child Performer Permit Combined Application This form is a combination of form LS 555 Application for Employment Permit for Child Performer, and form LS 560 Verification of Satisfactory Acedemic Performance. 4 pages pdf

Employment Agency

Form Description/Purpose Size Type
LS 355 -- Application for an Employment Agency License

This application must be completed to file for an Employment Agency License and must be accompanied by an Employment Agency License - Statements of Character.

2 pages pdf
LS 355.1 -- Application for an Employment Agency License Renewal

This application is to be completed to file for renewal of an Employment Agency License. 

2 pages pdf
LS 355.2 -- Application for an Employment Agency Manager Permit

This application is for an individual who wishes to become a registered Employment Agency Manager.

1 page pdf
LS 354 -- Renewal of Employment Agency License Information Information for applicants for renewal of employment agency license. 1 page pdf
LS 361 -- Application for an Employment Agency License - Statements of Character

This application must be included with an application for an Employment Agency License.

1 page pdf
LS 390 -- Employment Agency Law

Full text of the law.

30 pages pdf

Claim Forms

Form Description/Purpose Size Type
LS 223 -- Unpaid Wages Claim Form

This claim form is used to file for unpaid wages.

2 pages pdf
LS 223S -- Reclamo de Salarios No Pagados This is the Spanish language version of the claim form that is used to file for unpaid wages. 2 pages pdf
LS 223.1 -- Claim Form for Unpaid Wages/Commission Recap

This claim form is used to file for unpaid wages involving commissions. This form must be accompanied by a completed LS223 - Claim for Unpaid Wages. p>

2 pages pdf
LS 223.1S -- Hoja Sumaria de Vendedor a base de Comision

This is the Spanish language version of the LS 223.1. It is the claim form used to file for unpaid wages involving commissions.  This form must be accompanied by a completed LS223 - Claim for Unpaid Wages os LS223S Reclamo de Salarios No Pagados.

2 pages pdf
LS 425 -- Unpaid Wage Supplements Claim Form

This form is used to file for unpaid wage supplements.

2 pages pdf
LS 425S -- Reclamo de Complementos Salariales no Pagados

This is the Spanish Language version of the Unpaid Wage Supplements Claim Form.

2 pages pdf

Farm Labor

Form Description/Purpose Size Type
CR 190 -- Minimum Wage Order for Farm Workers

This is the legal text of the law regarding the employment of Farm Workers.

13 pages pdf
CR 197 -- Migrant Registration Regulations

This is the regulation that gives the registration requirements for Farm Labor contractors, growers and commissary operators.

9 pages pdf
LS 27 -- Special Notice to Farm Labor Contractors/Commissary Operators Informational Listing of Application Dates and Fees 1 page pdf
LS 28 -- Special Notice to Growers & Processors/Commissary Operators Informational Listing of Application Dates and Fees 1 page pdf
LS 110 -- Farm Minimum Wage Poster

This poster provides current minimum wage information to farm employees. Farm employers are required to post it where employees can see it.  Print on legal size, 8.5 inch x 14 inch, paper.

1 page pdf
LS 113 -- Application for Growers/Processor Certificate of Migrant Registration Use this application if you are going to hire 5 or more migrant workers and house them. 2 pages pdf
LS 113.1 -- Application For Farm Labor Contractor Certificate of Registration/Application for Farm Labor Camp Commissary Permit Use this to apply for an application for Farm Labor Contactor Certificate of Registration and/or for applying for an application for Farm Labor Camp Commissary Permit 2 pages pdf
LS 114 -- Grower/Processor Instruction Letter Instructions for completing the Grower/Processor Registration Application 2 pages pdf
LS 114.1 -- Contractor Instruction Letter

Instructions for completing Farm Labor Contractor Registration Application

2 pages pdf
LS 120 -- Application for Dispensation-Processors of Fruits and Vegetables To be used by an employer engaged in processing perishable produce wishing to apply for dispensation from certain requirements of the Labor Law, persuant to the provisions of the Defense Emergency Act of 1951. 1 page pdf
LS 122 -- Guidelines - Fingerprint Cards for Farm Contractors Guidlines 1 page pdf
LS 287 -- Commissary Price List To be posted in a conspicuous place in a farm labor camp commissary. 1 page pdf
LS 392 -- Supplementary Application by Registered Contractors Whose Services Are Utilized for 5 Days or Less Supplemental Application by Registered Contractors (Farm Labor) 1 page pdf
LS 415.1 -- Application for Youth Rate Certificate (Farm Employment) Use this application to obtain a certificate to pay minors under the age of 18 less than the basic minimum wage. 1 page pdf
LS 428 -- Notice to Growers Notice to growers employing farm workers or supply farm workers--regarding workers comp and disability. 1 page pdf
LS 428.1 -- Notice to Farm Labor Contractors Notice to Farm Labor Contractors and Farm Labor Camp Commissary Operators regarding workers’ compensation and disability. 1 page pdf
LS 440 -- Article 19-A Minimum Wage Standard for Farm Workers

Full text of the law.

10 pages pdf
LS 455 -- Sample Payroll Record This is a sample of what a Farm Labor payroll record should look like. 1 page pdf
LS 446 -- Sample Wage Statement This illustrates a sample wage statement as one is required by Section 190.8 of the Minimum Wage Order for Farm Workers. 1 page pdf

Wage Orders

Form Description/Purpose Size Type
CR 137 -- Restaurant Industry Minimum Wage Order

Complete text of the Minimum Wage Order for the Restaurant Industry.

13 pages pdf
Part 137 -- Restaurant Industry Minimum Wage Order Summary

Summary of Wage Rates and Allowances listed in the full text of the Minimum Wage Order for the Restaurant Industry.

1 page pdf
CR 138 -- Hotel Industry Minimum Wage Order

Complete text of the Minimum Wage Order for the Hotel Industry.

19 pages pdf
Part 138 -- Hotel Industry Minimum Wage Order Summary

Summary of Wage Rates and Allowances listed in the full text of the Minimum Wage Order for the Hotel Industry.

1 page pdf
CR 141 -- Building Services Industry Minimum Wage Order

Complete text of the Minimum Wage Order for the Building Services Industry.

13 pages pdf
Part 141 -- Building Services Industry Minimum Wage Order Summary

Summary of Wage Rates and Allowances listed in the full text of the Minimum Wage Order for the Building Services Industry.

1 page pdf
CR 142 -- Minimum Wage Order for Miscellaneous Industries & Occupations

Complete text of the Minimum Wage Order for Miscellaneous Industries & Occupations.

24 pages pdf
Part 142 -- Miscellaneous Industries & Occupations Minimum Wage Order Summary

Summary of Wage Rates and Allowances listed in the full text of the Minimum Wage Order for Miscellaneous Industries & Occupations.

1 page pdf

Professional Employer Organizations (PEO)

Form Description/Purpose Size Type
Article 31 -- Professional Employer Organizations (PEO)

Text of the law regarding Professional Employers Organizations.

2 pages pdf
LS 654 -- New York Professional Employer Act

Guidelines

1 page pdf
LS 665 -- PEO Registration Application

Used to file a registration to be in compliance with the Professional Employers Organization Law.

4 pages pdf
LS 671 -- PEO Exemption Application

Used to file an exemption from the Professional Employers Organization Law.

2 pages pdf
Registered -- Professional Employer Organizations

Listing of all registered PEOs.

3 pages pdf

Other Publications

Form Description/Purpose Size Type
LS 153 -- Renewal Application Apparel Industry Certificate of Registration

An Apparel Industry Certificate of Registration is required of all Apparel Industry employers in New York State. Use this application to renew an Apparel Industry Certificate of Registration. For instructions on how to use this application click here.

1 page pdf
LS 154 -- Application for Apparel Industry Certificate of Registration

This application is required of all Apparel Industry employers in New York State.

3 pages pdf
LS 207 -- Minimum Wage Poster

This poster provides current minimum wage information to employees. Employers are required to post it where employees can see it.

1 page pdf
LS 284 -- Application for Meal Period of Less than Thirty Minutes

Application for employers to waive the statutory 30 minutes meal period.

2 pages pdf
LS 312 -- Article 19 - Minimum Wage Act

This booklet contains the complete text of the Minimum Wage Act.

12 pages pdf
LS 315 -- Non-Profit Certification

Application for Non-Profitmaking Institutions to pay the statutory minimum wage in lieu of wage order coverage.

2 pages pdf
LS 442 -- Guidelines - Rehabilitation Programs Guidelines for Rehabilitation Programs who hire people with disabilities. 2 pages pdf
LS 445 -- Guidelines-Direct Deposit of Wages Guidelines for Direct Deposit of Wages in a Bank or Financial Institutions. 2 pages pdf
LS 551 -- Verification of WC/DB Insurance Coverage

Demonstrates that an employer has provided Workers' Compensation/Disability Insurance coverage.

1 page pdf
LS 650 -- Parent/Guardian Statement of Consent

Must be submitted by the parent(s) of 16 and 17 year old minors if they wish to give permission for their children to work between 10:00 PM and 12:00 Midnight.

1 page pdf
Part 160 -- Homework Restrictions for all Industries

Codes, rules and regulations regarding the restriction of Homework in all industries.

8 pages pdf
-- Special September 11th Bidders Registry

List of Apparel Contractors negatively impacted by the events of September 11, 2001.

1 page pdf
LS 621 -- Notification of Labor Standards Enforcement Process-English/Spanish ( Trifold) Notification of Labor Standards Enforcement Process- English/Spanish : Advises persons making complaints as to wether or not he Labor Department has the legal authority to intervene - wether the complaint is within the Labor Department's " jurisdiction". 2 pages pdf
LS 680 -- Mandatory Overtime Complaint Form

Mandatory Overtime Complaint Form

2 pages pdf
LS 680 Fillable -- Mandatory Overtime Complaint Form PDF Fillable Form

Mandatory Overtime Complaint Form

2 pages pdf
LS 682 -- Restrictions on Consecutive Hours of Work for Nurses

Restrictions on Consecutive Hours of Work for Nurses

2 pages pdf
P 10 -- Worker Protection in NYS A booklet providing an overview of Worker Protection laws, regulations, rules, policies and guidelines. 30 pages pdf
P 10S -- Protección al Trabajador en el Estado de Nueva York A booklet providing an overview of Worker Protection laws, regulations, rules, policies and guidelines written in Spanish. 38 pages pdf

Leaflets and Flyers

Form Description/Purpose Size Type
LS 12 -- Article 12A - Special Task Force for the Apparel Industry

Text of the law.

10 pages pdf
LS 10 -- Guidelines: Section 203-d, Employee Personal Identifying Information New York State law restricts an employer's use and distribution of an employee's social security number and other personal identifying information. 1 page pdf
LS 118 -- Labor Laws Relating to Farm or Food Processing Employment This pamphlet contains a summary of New York State Labor Laws relating to Farm or Food Processing Employment. 12 pages pdf
LS 122 -- Finger Print Cards for Farm Contractors

Guidelines

1 page pdf
LS 163.1 -- Civil Penalties for Child Labor Violations

Guidelines

1 page pdf
LS 171 -- Working Hours for Minors

This is a chart listing the permitted working hours for minors under 18 years of age.

2 pages pdf
LS 204 -- Tip Appropriation

Full text of the section of law that applies to tips/gratuities.

1 page pdf
LS 205 -- Employment Posters Information

A listing of the required employment posters that are within the jurisdiction of the Division of Labor Standards.

2 pages pdf
LS 210 -- Minimum Wage Order Summary -- Miscellaneous Industries & Occupations (Part142)

Summary of the Minimum Wage Order for Miscellaneous Industries and Occupations as applies to Household Employers and Domestic Workers.

2 pages pdf
LS 238 -- Civil Penalties for Agricultural Employers

Guidelines

2 pages pdf
LS 271 -- Abstract of Laws Relating to Payment of Wages

Summary of the law regarding payment of wages

5 pages pdf
LS 297 -- Commissary Instruction Letter

Cover letter for informational packet sent to agricultural employers who intend to operate a Farm Labor Camp Commissary.

1 page pdf
LS 309 -- Farm Work Agreement This form illustrates a sample farm work agreement taht employers should use to notify each employee in writing of conditions of employment at time of commitment to hire. 1 page pdf
LS 312 -- Article 19 - Minimum Wage Act

Full text of the law.

13 pages pdf
LS 440 -- Article 19-A Minimum Wage Standard for Farm Workers

Full text of the law.

10 pages pdf
LS 443 -- Meal Periods

Guidelines for Section 162 - Time Allowed for Meal Periods.

2 pages pdf
LS 601 -- Fringe Benefits

Full text of the section of law that applies to fringe benefits.

1 page pdf
LS 602 -- Small Claims Court Flyer

Informational posting on filing a claim  with the Small Claims Court.

1 page pdf
LS 603 -- Equal Pay Provisions

Full text of the section of law that applies to equal pay.

1 page pdf
LS 605 -- Deductions from Wages

Full text of the section of law that applies to deductions from wages.

1 page pdf
LS 606 -- Notice Requirements for Fringe Benefits and Hours

Guidelines for Section 195.5 - Fringe Benefits and Hours

1 page pdf
LS 607 -- Article 52 of the Civil Practice Law

Summary of law regarding discrimination against employees and prospective employees based upon wage assignment or income execution.

1 page pdf
LS 654 -- New York Professional Employer Act

Guidelines

1 page pdf
LS 611 -- Flyer for Section 161 of the Labor Law ( Day of Rest ) Flyer with guidelines of Section 161 of the Labor Law ( One Day of Rest in Seven ) for workers in various industries and establishments. 2 pages pdf
LS 619 -- Labor Standards Office Locations

A listing of the offices of the Division of Labor Standards.

1 page pdf
LS 702 -- Guidelines Regarding the Rights of Nursing Mothers to Express Breast Milk in the Work Place Guidelines Regarding the Rights of Nursing Mothers to Express Breast Milk in the Work Place. 4 pages pdf
LS 702S -- Pautas con respecto a los derechos de las madres lactantes a extraerse leche materna en el lugar de trabajo Spanish Language version of the Guidelines Regarding the Rights of Nursing Mothers to Express Breast Milk in the Work Place. 4 pages pdf
LS 703 -- Guidelines for Implementation of Employee Blood Donation Leave

Guidelines for Implementation of Employee Blood Donation Leave

4 pages pdf
LS 703S -- Pautas para la Implementación de la Licencia a Empleados para la Donación de Sangre Spanish Language version of the Guidelines for Implementation of Employee Blood Donation Leave. 4 pages pdf