8. Employee Acknowledgement: On this day, I received notice of my pay rate, overtime rate (if eligible), allowances, and designated payday. Employee Acknowledgement: On this day I have been notified of my pay rate, overtime rate (if eligible), allowances, and designated pay day on the date given.On the ____ day of ____ in the year ____ before me, the undersigned, personally appeared. , personally known to me or proved to me on the basis of satisfactory. The Notice and Acknowledgement of Pay Rate and Payday helps NY employers digitally sign and complete the required employment status notice to employees. Fill out the form below to share the job NYS DOL Issues Required Notice and Acknowledgement Form that New York Employers Must Use When Hiring New Employees. The employer must have the employee sign a statement acknowledging receipt of the written notice in English and the employee's primary language. New York employers must provide notice to covered employees that discloses any activities to monitor employees' email, phone, or internet usage. Filling out this document involves providing accurate employer and employee details. You will also need to specify pay rates and any allowances.