Employee Rights Poster

EMPLOYEE RIGHTS POSTER

Employer Name:    Effective Date:

WAGE AND HOUR RIGHTS

All employees are entitled to receive at least the applicable minimum wage for all hours worked and overtime compensation for hours worked in excess of the applicable daily or weekly threshold. Employer must maintain accurate time records and pay wages timely. Any dispute regarding wages should be reported to the employer's human resources representative listed below.

HR Contact:    Phone:    Email:

OVERTIME AND BREAKS

Non-exempt employees are eligible for overtime pay when required by applicable law. Employees are entitled to rest or meal breaks in accordance with applicable law and employer policy. Employers shall not retaliate against employees for asserting rights to breaks or overtime compensation.

FAMILY AND MEDICAL LEAVE

Eligible employees may request job-protected leave for qualifying medical and family reasons. Employees must provide reasonable notice and documentation as required by employer policy and applicable law. Requests are reviewed in accordance with law and employer leave procedures.

EQUAL EMPLOYMENT AND NON-DISCRIMINATION

Employer is an equal opportunity employer. Discrimination or harassment on the basis of protected characteristics is prohibited. Complaints of discrimination or harassment will be investigated promptly and corrective action taken when warranted. Retaliation against an individual for reporting discrimination or participating in an investigation is prohibited.

WORKERS' COMPENSATION & SAFETY

Employees injured on the job must report the injury immediately. Employer maintains workers' compensation insurance as required by law. The employer will take reasonable steps to provide a safe work environment and will evaluate reported hazards without retaliation against the reporting employee.

UNEMPLOYMENT AND RETALIATION PROTECTIONS

Employees may be eligible for unemployment insurance benefits following separation from employment, subject to applicable law. Employees are protected from unlawful retaliation for exercising rights under employment laws.

PAID SICK LEAVE AND OTHER BENEFITS

Eligible employees are entitled to paid sick leave and other benefits as required by law or employer policy. Accrual, usage, and documentation requirements are set out in employer policy.

HOW TO FILE A COMPLAINT

Employees with complaints regarding wages, discrimination, safety, or other protected rights should first contact the human resources representative. If concerns are not resolved internally, employees may pursue remedies provided by applicable law.

EMPLOYER INFORMATION (TO BE COMPLETED BY EMPLOYER)

EMPLOYEE ACKNOWLEDGMENT & RECORD (OPTIONAL FOR EMPLOYEE)

Personal Information — Employee completing this acknowledgment voluntarily records their contact information for employer records and acknowledges receipt of this poster.

POSITION INFORMATION

EMPLOYMENT HISTORY (MOST RECENT TWO EMPLOYERS)

From:    To:

From:    To:

EDUCATION

PROFESSIONAL REFERENCES (THREE)

LEGAL DISCLOSURES AND CERTIFICATIONS

At-Will Employment: Employment with this employer is on an at-will basis unless otherwise provided in a written agreement signed by an authorized representative. Either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law.

Equal Opportunity Statement: The employer prohibits unlawful discrimination and harassment and will take appropriate action to prevent, investigate, and remedy conduct that violates policy or law. Employees are encouraged to report concerns without fear of retaliation.

Applicant / Employee Certification: I certify under penalty of perjury that the information I have provided on this form is true and complete to the best of my knowledge. I authorize the employer to contact former employers and listed references and to conduct background checks as permitted by law. I acknowledge receipt of the Employee Rights Poster and understand my rights as described above.

Authorization to Contact Employers and Conduct Background Checks: I authorize contact of prior employers and third parties for references and employment verification.

Acknowledgment of Receipt: I acknowledge that I have received, read, and understand the Employee Rights Poster content included above.

ADDITIONAL NOTICES

Employees who believe their rights under any of the laws summarized here have been violated may lodge a complaint with the employer or pursue remedies provided by applicable law. The employer will not retaliate against employees for asserting rights or filing complaints.

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