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DOWNLOAD: Tip Credit Notification

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 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.


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.



The Tip Credit Notification is downloadable in Microsoft Word® file format.




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