NYS Department of Labor Forms Skip Navigation

NYS Department of Labor Forms

Notice and Acknowledgment of Pay Rate and Payday forms (PDFs)

Please note: The English-language forms below are Colgate-specific, so only the gray-highlighted sections need to be completed. 


Notices in English
(single- and multi-rate forms) -- FILLABLE (forms need to be downloaded and saved to your hard drive before they can be used)
  • Single-rate form (for students who are paid only one hourly rate within a single department)
  • Multi-rate form (for students who are paid more than one hourly rate within a single department)
Fillable forms are especially helpful if you are hiring many students.  For example, if you're hiring several students to work at the same wage rate, you may wish first to create and save a template PDF that contains only the information common to all hires in that grouping (e.g., wage rate, supervisor name and title, etc.). The template can then be "saved as" a new PDF bearing the name of the individual to be hired, at which point you would add the information that's unique to that employee (e.g., name, ID#, etc.).

You may then highlight a group of documents, right-click, and select the "print" option to print all highlighted documents at once.  As usual, students would complete Section 8 before the originals are submitted to Student Employment.  To save paper, you may save the individual PDFs to a file on your hard drive, which will both a) give you a record of the forms you've submitted and b) provide a way to generate an extra copy of a form if needed, without the need to keep photocopies of all submitted forms. 

If students are off-campus or otherwise hard to reach, supervisors may complete their sections of the fillable PDF, have the students complete their own portion of Section 8, then request that they save the PDF to their hard drive before attaching it to an e-mail sent to studentemployment@colgate.edu.   If the fully completed form is submitted from a student's Colgate e-mail account, this will serve as a digitally signed document.


Notices in English
(single- and multi-rate forms) -- NOT fillable
  • Single-rate form (for students who are paid only one hourly rate within a single department)
  • Multi-rate form (for students who are paid more than one hourly rate within a single department)

Notices in languages other than English (single-rate forms) -- NOT fillable


Please note: These forms below are generic documents provided by the Department of Labor, so all sections need to be completed.

Notices in languages other than English (multi-rate forms) -- NOT fillable

(Please note: These forms below are generic documents provided by the Department of Labor, so all sections need to be completed.)