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ACKNOWLEDGMENT OF WAGE INFORMATION

AK, CT, DE, HI, IL, IA, SC, and WV


In compliance with your state’s laws, you are hereby notified of the following information regarding your wages. If you have
any questions regarding any of these terms, please contact your Kelly representative.

1. Employee Printed Name: Joseph McDougall

2. Last Four Digits of Social Security Number: 7731

3. Wage Range: $20


Since your wage (and overtime wage, if applicable) may vary based on the responsibilities of each assignment, this
notice provides a range of rates earned by similarly qualified employees, who work assignments similar to those for
which you are eligible. Kelly Services will verbally notify you of the exact rate of pay for any assignment offered to
you. Should you accept and work the specific assignment offered to you, the exact rate of pay agreed to will also
be set forth on the pay stub (i.e., itemized wage statement) that you will receive each pay day following the date
the assignment commenced. Your assignment-specific overtime rates will be time-and-a-half and double your
hourly and/or differential rate and will be shown on your pay stub when you work overtime and double time.

4. Training Rate: You will be paid at the state or local minimum wage, whichever is higher. If you are unfamiliar
with your state or local minimum wage, contact your Kelly Representative.

5. Hours of Work: To be determined by customer per assignment. A Kelly representative will inform you for each
assignment. Hours typically conform to customer’s normal working hours for the position assigned.

6. Payment Schedule (Day/Hour): As long as you submit your time promptly and accurately at the end of your
work week, in accordance with Kelly Services’ policy, you will be paid within seven days from the end of the pay
period.

7. Place of Payment: For employees paid by Direct Deposit, your wages will be disbursed into the banking account
you provided. For employees paid by Wisely Pay, your wages will be disbursed via Wisely Pay (through the option
you selected, either Wisely Check or Wisely Pay Card).

8. Deductions from Wages: All required tax withholdings and, based on eligibility and/or election, other benefits,
such as 401(k) contributions, insurance, or spending accounts.

This Acknowledgment is not an employment contract. Kelly Services expressly reserves the right to alter, amend,
or delete any term set forth herein.
Prior to the commencement of each customer assignment, Kelly Services will verbally inform me of the actual
rate of pay for that assignment. I have the option to accept or reject any assignment. The agreed upon rate of
pay for the specific assignment I accept will be reflected on the paystub I receive each pay day following work on
the assignment. In the event that an inadvertent error is made regarding the pay rate range on this Notice, the
rate of pay verbally offered and accepted per assignment and reflected on the pay stub for the corresponding
pay period, will control.
My signature below acknowledges receipt of this document.

Employee Signature: _______________________________________ 09/06/2022


Date: __________________

 2022 Kelly Services, Inc. An Equal Opportunity Employer e2079 Revised July 2022

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