Union Organizing Certification/declaration - Subject To Audit - Suffolk County Department Of Labor Page 2

Download a blank fillable Union Organizing Certification/declaration - Subject To Audit - Suffolk County Department Of Labor in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Union Organizing Certification/declaration - Subject To Audit - Suffolk County Department Of Labor with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Section III
Contractor Name:
_______________________________________________
Federal Employer ID#: __________________
Contractor Address: ________________________________________________
Amount of Assistance: _________________
________________________________________________
Vendor #: ___________________________
Contractor Phone #: ________________________________________________
Description of project or service: ____________________________________________________________________ ___________
Section IV
In the event any part of the Union Organizing Law, Chapter 803 of the Laws of Suffolk County, is found by a court of competent
jurisdiction to be preempted by federal and/or state law, this certification/declaration shall be void ab initio.
Section V
I declare under penalty of perjury under the Laws of the State of New York that the undersigned is authorized to provide this certification,
and that the above is true and correct.
________________________________________________________
________________________________________
Authorized Signature
Date
________________________________________________________
Print Name and Title of Authorized Representative
DOL-LO1 1/15

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Suffolk County Department Of Labor Prevailing Wage Acknowledgement Suffolk County Department Of Labor Prevailing Wage Acknowledgement Business
Form Me. C-1a - Authorization To Correct Wages - Maine Department Of Labor Form Me. C-1a - Authorization To Correct Wages - Maine Department Of Labor Legal
Form Fda 2877 - Declaration For Imported Electronic Products Subject To Radiation Control Standards - Department Of Health And Human Services Form Fda 2877 - Declaration For Imported Electronic Products Subject To Radiation Control Standards - Department Of Health And Human Services Legal
Form 355u - Excise For Taxpayers Subject To Combined Reporting - Massachusetts Department Of Revenue - 2013 Form 355u - Excise For Taxpayers Subject To Combined Reporting - Massachusetts Department Of Revenue - 2013 Financial
Special Limited Permit To Work - Rhode Island Department Of Labor And Training Special Limited Permit To Work - Rhode Island Department Of Labor And Training Legal
Form Erd-985 - Application Form For Certification By The Subsequent Injury Fund - Montana Department Of Labor And Industry Form Erd-985 - Application Form For Certification By The Subsequent Injury Fund - Montana Department Of Labor And Industry Legal
Form Me Uc-1a (cssf) - Authorization To Correct Wages - Maine Department Of Labor - 2016 Form Me Uc-1a (cssf) - Authorization To Correct Wages - Maine Department Of Labor - 2016 Legal
Application For A Permit To Operate Allegany County Department Of Health Application For A Permit To Operate Allegany County Department Of Health Business
Attachment 19 - Tbs Informed Consent And Consent To Treatment - Riverside County Department Of Mental Health Attachment 19 - Tbs Informed Consent And Consent To Treatment - Riverside County Department Of Mental Health Legal
Certificate Authorizing Special Minimum Wage Rates Under Section 14(c) Of The Fair Labor Standards Act Sample - U.s.department Of Labor Certificate Authorizing Special Minimum Wage Rates Under Section 14(c) Of The Fair Labor Standards Act Sample - U.s.department Of Labor Legal

Related Categories

Parent category: Legal
Download
Go
Page of 2