Form ES325 "New York Youth Jobs Program: Business Certification" - New York

What Is Form ES325?

This is a legal form that was released by the New York State Department of Labor - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the New York State Department of Labor;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ES325 by clicking the link below or browse more documents and templates provided by the New York State Department of Labor.

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Download Form ES325 "New York Youth Jobs Program: Business Certification" - New York

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New York Youth Jobs Program
Harriman State Office Campus
Building 12, Room 425
Albany, NY 12240
New York Youth Jobs Program: 2020 Business Certification
You must complete all items, one through ten, except item 7f. Item 7f is optional.
Mail the completed and signed application to the address above or fax it to (518) 485-2577.
If you have questions or need help, call (877) 226-5724 or email
youthjobs@labor.ny.gov
1. Business Name: _____________________________________________________________________
2. Federal Employer Identification Number (FEIN): ________________
3. Industry Sector: _____________________________
4. a. Business Street Address: ____________________________________________________________
___________________________________________________________________________________
b. City: ___________________________________________ c. State: ___________ d. Zip: _________
5. a Please check the following box if the worksite address is the same as the business address:
.
b. If it is not the same, enter the worksite address. Street: _____________________________________
___________________________________________________________________________________
c. City: ____________________________________________ d. State: __________ e. Zip: _________
6. Is the worksite within a reasonable commuting distance from these target areas? Check all that apply:
The city or town limits of:
Albany
Brookhaven
Buffalo
Hempstead
Mount Vernon
New Rochelle
New York City (5 boroughs)
Rochester
Schenectady
Syracuse
Utica
White Plains
Yonkers
Other: __________________________________________________________________________
7. a. I am applying for the following type of certificate. Check only one of the two following boxes:
A new certificate: My business is new to the New York Youth Jobs Program.
Recertification: My business was already certified in the New York Youth Jobs Program.
b. Complete items C through E. Item F is optional.
c. Contact name: __________________________________________________________________
d. Job title: _______________________________________ e. E-mail: _______________________
e. Phone: ________________________ f. Fax (optional): ____________________
8. If you are a third party submitting this application on behalf of the business named in item one, please
provide the following contact information for your business. Complete items A through C.
a. Contact name: ___________________________________________________________________
b. E-mail: _____________________________ c. Phone: ________________________
9. How would you like the Department of Labor to contact you? Check one:
Phone or
Email
Note: Unless you choose phone, we will use your email for more efficient communication.
ES 325 (1/20)
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New York Youth Jobs Program
Harriman State Office Campus
Building 12, Room 425
Albany, NY 12240
New York Youth Jobs Program: 2020 Business Certification
You must complete all items, one through ten, except item 7f. Item 7f is optional.
Mail the completed and signed application to the address above or fax it to (518) 485-2577.
If you have questions or need help, call (877) 226-5724 or email
youthjobs@labor.ny.gov
1. Business Name: _____________________________________________________________________
2. Federal Employer Identification Number (FEIN): ________________
3. Industry Sector: _____________________________
4. a. Business Street Address: ____________________________________________________________
___________________________________________________________________________________
b. City: ___________________________________________ c. State: ___________ d. Zip: _________
5. a Please check the following box if the worksite address is the same as the business address:
.
b. If it is not the same, enter the worksite address. Street: _____________________________________
___________________________________________________________________________________
c. City: ____________________________________________ d. State: __________ e. Zip: _________
6. Is the worksite within a reasonable commuting distance from these target areas? Check all that apply:
The city or town limits of:
Albany
Brookhaven
Buffalo
Hempstead
Mount Vernon
New Rochelle
New York City (5 boroughs)
Rochester
Schenectady
Syracuse
Utica
White Plains
Yonkers
Other: __________________________________________________________________________
7. a. I am applying for the following type of certificate. Check only one of the two following boxes:
A new certificate: My business is new to the New York Youth Jobs Program.
Recertification: My business was already certified in the New York Youth Jobs Program.
b. Complete items C through E. Item F is optional.
c. Contact name: __________________________________________________________________
d. Job title: _______________________________________ e. E-mail: _______________________
e. Phone: ________________________ f. Fax (optional): ____________________
8. If you are a third party submitting this application on behalf of the business named in item one, please
provide the following contact information for your business. Complete items A through C.
a. Contact name: ___________________________________________________________________
b. E-mail: _____________________________ c. Phone: ________________________
9. How would you like the Department of Labor to contact you? Check one:
Phone or
Email
Note: Unless you choose phone, we will use your email for more efficient communication.
ES 325 (1/20)
Page 1 of 2
10. Terms of Service Agreement
A. I will post all New York Youth Jobs Program job openings for my company on the New York State
Job Bank, to the maximum extent possible.
B. I will confirm the hires of certified youth with the NYS Department of Labor.
C. I agree to allow the New York State Department of Tax and Finance to share my wage records
with the New York State Department of Labor.
D. I swear the pay offered for this position is comparable to wages offered for similar jobs, with
appropriate adjustments for experience and training.
E. I swear my business has not intentionally reduced its existing workforce (i.e., terminated an
existing employee or given an existing employee a partial work reduction) in order to hire a worker
certified for the New York Youth Jobs Program.
F. I understand the reason a youth qualifies for this program is private personal information and
agree to not ask the youth to explain or describe why they qualify for the program.
G. To the best of my knowledge, this information is true, correct and complete. I am aware that
there are significant civil and criminal penalties for filing false documents or other information with
the government.
H. Signature: ________________________________________________ I. Date: ______________
J. Print name: ____________________________________________________
K. Title: _________________________________________________________
New York State (NYS) Job Bank Program Information
Free Self-posting Service
This free service allows you to manage your job orders throughout the recruitment process. For new
users, registration approval may take up to 3 business days.
To register go to:
http://newyork.us.jobs
Free Indexing Feature
Indexing is a free feature of the New York State Job Bank. It allows jobs posted on your own corporate
website to upload to the Job Bank daily. This feature helps you reach more jobseekers while saving
you from having to post positions in multiple places. Simply add, change or close available job
postings on your own site and the information updates daily in the NYS Job Bank.
To register go to:
http://us.jobs/indexingrequest.asp
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