Notice Of Employment Information Form - Seattle Office Of Labor Standards
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(Form will retain employers information)
Date: ________________________
Seattle Office of Labor Standards
Notice of Employment Information
Employers are required to provide written notice of employment information to every employee working in
Seattle, (1) at time of hire and (2) before any change to such employment information (except for manager or
supervisor contact information). The notice must be provided in English and the primary language of the employee
receiving the information.
For more information contact Seattle Office of Labor Standards at (206) 684-4500
or see
Employee
Effective Date of this notice___________________________
At hire
Existing Employee
Change to Employment Information - What change to employment information?
Employer name
Employer address
Employer phone number/email address
Employer tip policy
Employee rate of pay or overtime eligibility
Employee pay basis
Employee pay day
1. Employee name _______________________________________________________
2. Employee position(s)
Employer
1. Name
Other name of employer, including "doing business as" name
2. Physical address
Street
City
State
Zip___________________
Mailing address
Same as physical address
Street
City ________________________
State ________________
Zip __________________
_
3. General phone number _________________________Email _____________________________________
4. Manager or supervisor name
_________Phone number ________________________
5. Manager or supervisor email _______________
____________
Published: 3/30/16 Revised: 5/25/17
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Parent category: Legal