salary schedule form

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Department of Labor Salary Schedule Formed NUMBER OF EMPLOYEESURNAME INITIALS OF EMPLOYEE UI REFERENCE NUMBERCOMPANY NAME DOMESTIC WORKER /HOUSEHOLD PERIOD OF Servicemen: From To Remuneration Hours
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Signature: This form is intended to provide a guide for employers as to how to implement the provisions of the Labor Standards Act. It is not meant to be used in litigation and does not require employers to register their employers' unions, which do not offer registration services. A person who files a request for a copy of the current Labor Standards Regulations must include with the request all information requested by the Department of Labor and in the alternative may specify a fee of 25 for copies of the Regulations. Note: The Department of Labor, through its Wage and Hour Division, will furnish a copy of this document for a nominal fee.

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