Description

RATE OF PAY NOTICE

[Company Name]  

Employee Information

• Employee Name:

• Position Title:

• Department/Location:

• Date of Hire:

• Supervisor/Manager Name:

Rate of Pay Information

• Rate of Pay: $__________ per ☐ Hour ☐ Week ☐ Month ☐ Event

• Overtime Rate (if applicable): $__________ per hour (over 40 hrs/week)

• Scheduled Work Hours (Days/Times):

• Pay Frequency: ☐ Weekly ☐ Bi-Weekly ☐ Monthly ☐ Other: __________

• Pay Method: ☐ Direct Deposit ☐ Check ☐ Cash

• Date This Pay Rate Becomes Effective:

Additional Terms or Notes

Acknowledgment

I acknowledge that I have received and reviewed the details of my compensation as outlined above. I understand that this notice does not constitute a contract of employment and that terms of employment may be modified as necessary.

• Employee Signature: ___________________________    Date: ______________

• Manager Signature: ___________________________    Date: ______________

• HR/Payroll Representative: ____________________    Date: ______________