Form PW30.1 "Employer Registration for Use of 4 Day/10 Hour Work Schedule" - New York

What Is Form PW30.1?

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 November 1, 2019;
  • 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 fillable version of Form PW30.1 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 PW30.1 "Employer Registration for Use of 4 Day/10 Hour Work Schedule" - New York

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Bureau of Public Work
Harriman State Office Campus
Building 12, Room 130
Albany, New York 12240
www.labor.ny.gov
Phone: (518) 457-5589
Fax: (518) 485-1870
Employer Registration for Use of 4 Day / 10 Hour Work Schedule
Before completing this form, make sure that:
There is a Dispensation of Hours in place on the project.
The 4 Day / 10 Hour Work Schedule applies to the Job Classifications you will be using.
The 4 Day / 10 Hour Work Schedule applies to the County / Counties where the work will take place.
Please type or print the requested information and then mail or fax to the address above.
Contractor Information
Company Name:
FEIN:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Email:
Contact Person:
Fax Number:
Phone Number:
Email:
Project Information
Project PRC#:
Project Name/Type:
Exact Location of Project:
County:
If you are Subcontractor:
Prime Contractor Name:
Job Classification(s) to Work 4/10 Schedule:
(Choose all that apply on Job Classification Checklist - Pages 3-8)
*** Do not write in any additional Classifications or Counties***
Requestor Information
Name:
Title:
Date:
PW 30.1 (11/19)
Page 1 of 7
Bureau of Public Work
Harriman State Office Campus
Building 12, Room 130
Albany, New York 12240
www.labor.ny.gov
Phone: (518) 457-5589
Fax: (518) 485-1870
Employer Registration for Use of 4 Day / 10 Hour Work Schedule
Before completing this form, make sure that:
There is a Dispensation of Hours in place on the project.
The 4 Day / 10 Hour Work Schedule applies to the Job Classifications you will be using.
The 4 Day / 10 Hour Work Schedule applies to the County / Counties where the work will take place.
Please type or print the requested information and then mail or fax to the address above.
Contractor Information
Company Name:
FEIN:
Address:
City:
State:
Zip Code:
Phone Number:
Fax Number:
Email:
Contact Person:
Fax Number:
Phone Number:
Email:
Project Information
Project PRC#:
Project Name/Type:
Exact Location of Project:
County:
If you are Subcontractor:
Prime Contractor Name:
Job Classification(s) to Work 4/10 Schedule:
(Choose all that apply on Job Classification Checklist - Pages 3-8)
*** Do not write in any additional Classifications or Counties***
Requestor Information
Name:
Title:
Date:
PW 30.1 (11/19)
Page 1 of 7
Please use the list below with the number assigned to each county as a reference to the
corresponding numbers listed in the following pages under Entire Counties & Partial Counties.
1.
Albany County
32.
Niagara County
2.
Allegany County
33.
Oneida
3.
Bronx County
34.
Onondaga
4.
Broome County
35.
Ontario
5.
Cattaraugus County
36.
Orange
6.
Cayuga County
37.
Orleans County
7.
Chautauqua County
38.
Oswego County
8.
Chemung County
39.
Otsego County
9.
Chenango County
40.
Putnam County
10.
Clinton County
41.
Queens County
42.
Rensselaer County
11.
Columbia County
12.
Cortland County
43.
Richmond County (Staten Island)
13.
Delaware County
44.
Rockland County
14.
Dutchess County
45.
Saint Lawrence County
15.
Erie County
46.
Saratoga County
16.
Essex County
47.
Schenectady County
17.
Franklin County
48.
Schoharie County
18.
Fulton County
49.
Schuyler County
19.
Genesee County
50.
Seneca County
20.
Greene County
51.
Steuben County
21.
Hamilton County
52.
Suffolk County
22.
Herkimer County
53.
Sullivan County
23.
Jefferson County
54.
Tioga County
24.
Kings County (Brooklyn)
55.
Tompkins County
25.
Lewis County
56.
Ulster County
26.
Livingston County
57.
Warren County
27.
Madison County
58.
Washington County
59.
Wayne County
28.
Monroe County
29.
Montgomery County
60.
Westchester County
30.
Nassau County
61.
Wyoming County
31.
New York County (Manhattan)
62.
Yates County
Page 2 of 7
Job Classification Checklist
(Place a checkmark by all classifications that will be using the 4/10 schedule)
*** Do not write in any additional Classifications or Counties***
Check
Job Classification
Tag #
Entire Counties
Partial Counties
Box
Boilermaker
2, 5, 7, 8, 15, 19, 26, 28, 32, 35, 37,
7
49, 51, 59, 61, 62
Carpenter – Building
7
2 ,5
276B-All
Carpenter – Building
15
5
276B-Cat
Carpenter – Building
26, 28, 35, 59
61
276-B-LIV
Carpenter – Building
19, 32, 37
61
276B-Gen
Carpenter – Heavy & Highway
2, 5, 7
276HH-All
Carpenter – Heavy & Highway
15
276HH-Erie
Carpenter – Heavy & Highway
276HH- Gen 19, 32, 37, 61
Carpenter – Heavy & Highway
26, 28, 35, 59
276HH-Liv
Carpenter – Residential
7
2, 5
276R-All
Carpenter – Building
4, 54
277B-Bro
Carpenter – Building
6, 50, 62
277B-CAY
Carpenter – Building
8, 12, 49, 51, 55
2
277B-CS
Carpenter – Building
23, 25, 45
277 JLS
Carpenter – Building
22, 27, 33
277 omh
Carpenter – Building
34
277 On
Carpenter – Building
38
277 Os
277CDO
Carpenter – Building
9, 13, 39
Bldg
277CDO
Carpenter – Heavy & Highway
9, 13, 39
HH
4, 6, 8, 12, ,22, 23, 25, 27, 33, 34,
Carpenter – Heavy & Highway
277HH-BRO
38, 45, 49, 50, 51, 54, 55, 62
Carpenter – Building
1, 18, 20, 29, 42, 47, 48
291B-Alb
Carpenter – Building
10, 16, 17
291B-Cli
Carpenter – Building
21, 57, 58
291B-Ham
Carpenter – Building
46
291B-Sar
1, 10, 16, 17,18, 20, 21, 29, 42, 46,
Carpenter – Heavy & Highway
291HH-Alb
47, 48, 57, 58
30, 52
Carpenter–Building & HH
4 RegCouncil
Electrician
30, 52
25m
Electrician – Teledata Cable Splicer
12, 22, 27, 33, 38
6, 9, 34, 39, 55, 59
43
Page 3 of 7
Job Classification Checklist
(Place a checkmark by all classifications that will be using the 4/10 schedule)
*** Do not write in any additional Classifications or Counties***
Check
Job Classification
Tag #
Entire Counties
Partial Counties
Box
Electrician
86
26, 28
19, 35, 37, 59, 61
840 Z1
Electrician
62
6, 34, 35, 50, 59
Electrician
910
10, 16, 17, 23, 25, 45
Electrical Lineman
1049Line/Gas 30, 41, 52
1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13,
14, 15, 16, 17, 18, 19, 20, 21, 22,
23, 25, 26, 27, 28, 29, 32, 33, 34,
Electrical Lineman
1249a
35, 36, 37, 38, 39, 40, 42, 44, 46,
47, 48, 49, 50, 45, 51, 53, 54, 55,
56, 57, 58, 59, 61, 62
Electrical Lineman
1249a West 60
1, 2, 4, 5, 6, 7, 8, 9, 10, 12, 13, 15,
16, 17, 18, 19, 20, 21, 22, 23, 25,
Electrical Lineman
1249a-LT
26, 27, 28, 29, 32, 33, 34, 35, 37,
38, 39, 42, 46, 47, 48, 49, 50, 45,
51, 53, 54, 55, 57, 58, 59, 61, 62
Electrical Lineman
1249aREG8LT 11, 14, 36, 40, 44, 56
Electrical Lineman
1249aWestLT 60
Elevator Constructor
138
11, 14, 20, 36, 40, 53, 56
13, 44, 60
Elevator Constructor
14
2, 5, 7, 15, 19, 32, 37, 61
Elevator Constructor
27
8, 26, 28, 35, 49, 50, 51, 59, 62
1, 10, 16, 18, 21, 22, 29, 39, 42, 46,
Elevator Constructor
35
47, 48, 57, 58
4, 6, 9, 12, 23, 25, 27, 33, 34, 38,
Elevator Constructor
62.1
13
45, 54, 55
1, 10, 11, 16, 17, 18, 20, 21, 29, 42,
Glazier
201
46, 47, 48, 57, 58
Glazier
660r
2, 5, 7, 15, 19, 32, 37, 61
Glazier
660
2, 5, 7, 15, 19, 32, 37, 61
Glazier
677.1
23, 25, 26, 28, 35, 45, 50, 59, 62
Glazier
677Z-2
6, 12, 22, 27, 33, 34, 38
Glazier
677z3
4, 8, 9, 13, 39, 49, 51, 54, 55
4, 6, 8, 9, 12, 22, 23, 25, 27, 33, 34,
Insulator – Heat & Frost
30-Syracuse
38, 39, 49, 50, 45, 54, 55
Laborer – Building
621b
2, 7
5
Page 4 of 7
Job Classification Checklist
(Place a checkmark by all classifications that will be using the 4/10 schedule)
*** Do not write in any additional Classifications or Counties***
Check
Job Classification
Tag #
Entire Counties
Partial Counties
Box
Laborer – Building
785(7)
4
9, 13, 54
Laborer – Building
785B-CS
8, 51
49
Laborer – Building
7-785b
12, 55
49, 54
Laborers – Heavy & Highway
157h/h
47
18, 29, 46
Laborers – Heavy & Highway
190 h/h
1, 42, 58
11, 20, 46
Laborers – Heavy & Highway
190z2H/H
21, 22, 27, 33
18, 29
Laborer – Residential
621r
2, 7
5
1, 10,11, 16, 17, 18, 20, 21, 29,
Mason – Building
2TS.1
42, 46, 47, 48, 57, 58
Mason – Building
2TS.2
22, 23, 25, 33, 45
27
Mason – Building
2TS.3
6, 34, 38
27
Mason – Building
2b-on
34
1, 11, 18, 20, 21, 29, 42, 46, 47, 48,
Mason – Building
2b.1
57
58
Mason – Building
2b.2
22, 33
25
Mason – Building
2b.3
6, 34
27
Mason – Building
2b.4
38
Mason – Building
2b.5
23
25
Mason – Building
2b.6
45
Mason – Building
2b.8
10, 16, 17
57
Mason – Building
3b-Co-Z2
8, 49, 51
2
Mason – Building
3B-Z1
19, 26, 28, 35, 50, 59, 61, 62
Mason – Building – Residential
3B-Z1R
19, 26, 28, 35, 50, 59, 61, 62
Mason – Building
3B-Bing-Z2
4, 9, 13, 39, 54
Mason – Building
3B-Ith-Z2
12, 55
Page 5 of 7
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