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TDI Form NumberDescriptionFile FormatLanguageDWC003Employer's wage statement. Rev. Numeric listing of workers' compensation forms ; PLN05S, Notice of First Death Benefit Payment Rev.New York State Department of Labor Form AL 446 is a sample of a completed wage statement for agricultural workers. You can complete some forms online, while you can download and print all others. 1. Instruct the employee to complete the "Claimant's Statement" on the bottom of the form. Posters must also be provided in English and any other languages needed for employees. NOTICE TO EMPLOYER: Please read all instructions on the back of this form carefully. The Wage Complaint and Collection Law claim form has been translated into Spanish. (Click here for the Spanish Form 18.) Form 18B. NOTICE TO EMPLOYER: Please read all instructions on the back of this form carefully.