Durham Living Wage Certification Application

Durham Living Wage Project: Employer Certification:

Thank you for your interest in paying your employees a living wage and becoming a Durham Living Wage employer. The rate for certification is: $16.25/hour or $14.75 with health insurance benefits. The Durham living wage rate is tied to the livable wage rate of Durham County and the City of Durham, which are based on a modified version of the Universal Living Wage methodology. Durham Living Wage Project certification under the current rate will last until June 30, 2022, as long as an employer maintains the current living wage throughout that time. For tipped employees, when averaged out, wages plus tips must equal at least $16.25/ $14.75. An employer may pay less than a living wage to apprentices, temporary or project-based employees, and interns. An employer may also pay less than a living wage to a new hire in a probationary period not to exceed 90 days. All of these circumstances will require additional information and will be reviewed by our certification committee. In order to ensure accurate information from employers, we reserve the right to do random quarterly reviews by interviewing a percentage of their employees.You can read more about the details of the program and definitions here: http://www.durhamlivingwageproject.org/definitions. Please fill out the form below to certify your business with the Durham Living Wage Project. If you have any questions, please contact us at livingwage@durhampa.org.
The application must be completed by the employer's designated person with the authority to represent the business or organization. All applications will be reviewed by the Durham Living Wage Certification Committee, which is empowered to make all final decisions on certification. Application data is considered confidential and privileged information. It will only be shown to our Certification Committee members. No copies will be made or distributed. Employers must reapply for Living Wage certification yearly. The wage level is $16.25 and will remain in effect until June 30th, 2022. Please review and fill out the following information to certify your business or organization with the Durham Living Wage Project. The Durham Living Wage Project charges a nominal application fee to process certification requests. The fee is based on the number of regular full-time employees employed by the business applying. If you have any questions, please contact us at livingwage@durhampa.org.*

I understand and agree
All living wage employers must follow all basic U.S. and North Carolina labor laws, including the correct classification of employees and independent contractors. All employers must also respect the rights of their workers to organize into labor unions. If an employer is engaging in anti-union activities or infringing on basic labor rights, its certification will be withdrawn. If an employer applies to be certified in the midst of a union contract negotiation or organizing campaign, the certification process will be delayed until after the process is complete.

I agree to the terms and conditions

How Many Regular Full-Time Employees Do You Have?
How Many Regular Part-Time Employees Do You Have?
How Many Independent Contractors Do You Have Working At Your Business?
Please include the total number of contractors (adding full time and part-time together)
What Number of The Employees Listed Above are Interns?
What Number of the Employees Listed Above are Apprentices?
What number of the employees listed above are temporary or project-based employees working fewer than 90 days a year?
What number of the employees listed above are new hires in a probationary period not to exceed 90 days?
Of the remaining employees, are all current regular full and part-time employees paid at least $16.25/hour?*

YesNo
If you did NOT answer yes to the previous question, select all of the following that apply to your business?

You offer health insurance to your employees working on average 30 or more hours/week?You pay at least 50% of the employees premium?You pay these employees no less than $14.75?
If you picked all three choices from the question above you might be eligible for certification

Yes, all three criteria applyNo, I do not meet the criteria
How many employees do you have that will receive a wage below $16.25 because of receiving healthcare coverage paid by your business?
How many independent contract workers do you pay on an hourly basis?
Do you agree to allow a Living Wage team member to interview a portion of your staff to confirm rates?

YesNo

Wage Impact:

Durham Living Wage Project promotes a just economy where workers are paid fairly, employers are successful, and our community thrives. As part of its work, DLWP documents how living wage certification impacts equal employment opportunities
How many employees (if any) will receive a wage increase to meet DLWP's certification criteria?
What is the average HOURLY wage increase employees will receive (for employees receiving a wage increase)*
What's the TOTAL number of hours this group of employees worked in the previous year?
If you raised wages, how many employees received an increase?
If you raised wages, what is the total annual cost of the increase?
Did you increase health insurance benefits to meet DLWP criteria

YesNo
If yes, how many employees received the benefits?
If you increased benefits, what is the total annual cost of the increase?
Do you offer paid sick time?

YesNo
Do you offer family medical leave?

YesNo
Is there any other information related to employee benefits you would like to share?

Employee Diversity

Please state, to the best of your ability, the number of employees that fall into each of these categories. We recommend that you give your employees the opportunity to self-identify their gender and race/ethnicity.
Female
Male
Gender Non-Conforming
LatinX/Hispanic
Black/African American
Asian/Pacific Islander
Native American
Check any of these ownership models that apply to your business

Minority OwnedWoman OwnedCooperative/Worker Owned

Check each of the following certifications if you agree

I certify that the information above is true and accurate to the best of my knowledge.I certify that my employees are aware that I have applied for certification.I agree that my business will not take retaliatory actions against employees that raise concerns.
Applicant Email
example@example.com
Would you be interested in providing a testimonial that will appear on our website?
If you are interested in leaving a testimonial describing why you pay a living wage and why it is important to you, your employees, and the strength of your business, please leave it in the space provided.
Do you have an employee interested in giving a testimonial about the importance of earning a living wage that will be featured on our website?

YesNo
Please provide your employee's email for the testimonial and we will send them a separate form to fill out
example@example.com
Application Processing Fee: Please choose the option below that applies to the employee size of your business
prevnext( X )
Under 10 Employees$35.00
Total employees includes all employees - part-time, interns, probationary staff

11-25 Employees$85.00
Total employees includes all employees - part-time, interns, probationary staff

Over 25 employees$200.00
Total employees includes all employees - part-time, interns, probationary staff

Total $0.00
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