Notice to Tipped Employees

The U.S. Department of Labor recently amended its tip credit notice regulations, effective May 5, 2011, to require employers to inform tipped employees of certain tip credit information. We are informing you of the following as a result of this new requirement: 

• The amount of cash wage to be paid to you per hour will be $2.13 per hour.
• Assuming you have received a sufficient amount of tips to cover the tip credit, the amount of your tips per hour to be credited as wages will be $ 5.12 per hour.
• You have the right to retain all the tips you receive, except for a valid tip pooling arrangement limited to employees who customarily and regularly receive tips. 
• The tip credit shall not apply unless you have been informed of these requirements. 

You are being provided this information in accordance with Section 203 (m) of the Fair Labor Standards Act. Please sign and date this notice indicating that you understand it, and return it to ____________. 

Contact ____________ at __________ if you have any questions. 
. 
__________________________ 
Employee’s Name (Print) 
__________________________ 
Employee’s Signature 
__________________________ 
(Date)