Form DOL-L2 "Prevailing Wage Acknowledgement Form" - Suffolk County, New York

Form DOL-L2 or the "Prevailing Wage Acknowledgement Form" is a form issued by the New York State Department of Labor.

The form was last revised in February 1, 2012 and is available for digital filing. Download an up-to-date Form DOL-L2 in PDF-format down below or look it up on the New York State Department of Labor Forms website.

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Download Form DOL-L2 "Prevailing Wage Acknowledgement Form" - Suffolk County, New York

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Suffolk County Department of Labor
Prevailing Wage Acknowledgement
Project Number:__________________________
Project Name/Location:
_______________________________________
_______________________________________
_______________________________________
I, hereby, acknowledge that I have been fully informed by my employer that I have the right
to receive and will be receiving the prevailing wages and supplements for the occupation of
_______________________________ for which I have been hired at the job site listed above.
The
current rate of pay is _________________ per hour including all fringe benefits.
I further acknowledge that I have received and, under no duress, signed this written notice
prior to my beginning work at the job site listed above.
For the purposes of this acknowledgement, an employee includes, in addition to those
immediately under the hire and/or suspension of the prime contractor, employees of
subcontractors engaged in work at the job site listed above.
_________________________________
________________________________
Contractor/Subcontractor Signature
Employee Signature
_________________________________
________________________________
Contractor/Subcontractor Name
Employee Name
(PRINT CLEARLY)
(PRINT CLEARLY)
DOL-L2 (2/12)
Suffolk County Department of Labor
Prevailing Wage Acknowledgement
Project Number:__________________________
Project Name/Location:
_______________________________________
_______________________________________
_______________________________________
I, hereby, acknowledge that I have been fully informed by my employer that I have the right
to receive and will be receiving the prevailing wages and supplements for the occupation of
_______________________________ for which I have been hired at the job site listed above.
The
current rate of pay is _________________ per hour including all fringe benefits.
I further acknowledge that I have received and, under no duress, signed this written notice
prior to my beginning work at the job site listed above.
For the purposes of this acknowledgement, an employee includes, in addition to those
immediately under the hire and/or suspension of the prime contractor, employees of
subcontractors engaged in work at the job site listed above.
_________________________________
________________________________
Contractor/Subcontractor Signature
Employee Signature
_________________________________
________________________________
Contractor/Subcontractor Name
Employee Name
(PRINT CLEARLY)
(PRINT CLEARLY)
DOL-L2 (2/12)
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