Notice and Acknowledgement of Pay Rate and Payday under Section

195.1 of the New York State Labor Law Notice

Instructions: Below you will find the notice of your Pay Rate and Payday as required by the
NYS Department of Labor. Please review this information, and verify electronically. You should
print a copy of this form for your records as well. If English is not your primary language and the
Department of Labor offers a pay notice form in your primary language, we will send you a
notice in that language.
If you have any questions about this form or there are any mistakes, please email the Human
Resources Office at hr@rit.edu.

Employer Information: Rochester Institute of Technology

8 Lomb Memorial Dr
Rochester, NY 14623
585-475-2424

Effective Date: 27-AUG-2021

Employee Name: Hisert, Ross E.

Employee's Pay Rate: $26.41 per hour

Overtime Pay Rate: $39.615 per hour
Pay is: Bi-Weekly
Regular Payday: Friday

Allowances taken:
X None
Tips _______per hour
Meals _______per meal
Lodging
Other