Use this form to inform your tipped employees about how the tip credit is

applied to minimum wage calculation as mandated by the U.S. Dept. of Labor.

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. This template has been designed

to help operators meet compliance requirements.

This template is available in Rich text (RTF) file format. You must have a word

program installed on your computer to use this form.

Summary of features & benefits:

• Can be customized for your unique restaurant and staff.

• The wording is similar to that recommended by the National Restaurant

  Association and the Dept. of Labor.  

• Enables you to keep in compliance with Section 203 (m) of the Fair Labor

  Standards Act.

• Provides for employee signed acceptance.