Get Ny Ls 425 2013-2026

The NY LS 425 form is a claim for unpaid wage supplements filed with the New York State Department of Labor. This guide provides comprehensive, step-by-step instructions for filling out the form online, ensuring that users understand each component and can complete it efficiently.

Follow the steps to complete your NY LS 425 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, enter your full name clearly. Indicate your preferred title by using options like Ms. or Mrs.
3. Provide your complete address in Section 2, including any apartment number, city, county, and zip code.
4. In Section 3, enter your social security number to identify your claim.
5. For Section 5, claim the name of the business you are bringing a claim against, and include a phone number in Section 4.
6. If applicable, provide the corporation name and its main office address in Sections 6 and 7.
7. Section 9 requires the names and addresses of responsible persons at the firm.
8. Indicate the type of business in Section 10, and confirm its operational status in Section 11.
9. Elaborate on your employment in Section 12 by stating your occupation and where you worked.
10. In Section 14, note the date you were hired and name the person who hired you in Section 15.
11. Sections 17 and 18 require you to input your latest agreed rate of pay and the last day you worked.
12. Clarify your employment status in Section 19, detailing whether you quit, were discharged, or laid off.
13. Complete Section 20 by explaining the reason for your employment status.
14. If applicable, indicate in Sections 21 and 22 whether you were a union member and sought assistance from your union.
15. Before answering Section 24, make sure to fill out the reverse side of the form to assess payments due.
16. In Section 23, provide the name and address of the employer's bank.
17. Address your request for benefits in Section 25 and indicate the date you made this request in Section 26.
18. Confirm in Section 28 if the employer refused to pay the benefits you requested.
19. State the total amount of payment due in Section 24 and detail any non-honored checks in Section 29.
20. Describe how you received wages in Section 30, selecting an option such as cash or check.
21. In the final sections, specify the supplements claimed, periods involved, and any agreements covering benefits before signing the form.
22. Once all sections are complete, save your changes, download a copy, print the document, or share it as needed.

Complete your NY LS 425 document online today to initiate your claim for unpaid wage supplements.