Certified Payroll Form
I pay or supervise the payment of the persons employed by I CONTRACTOR SUBCONTRACTOR OR SURETY that during the payroll period BUILDING OR WORK day of and ending the day commencing on the MONTH YEAR all persons employed on said project have been paid the of full weekly wages earned that no rebates have been or will be made either directly or indirectly to or on behalf of said from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person other than permissible deductions as specified in ORS 652. 845 SUBCONTRACTOR PAYROLL NO. Business Name DBA Phone Project Name Street Address Type of Work Project Location Project County Date Pay Period Began THIS SECTION FOR PRIME CONTRACTORS ONLY Public Contracting Agency Name Date Contract Specifications First Advertised for Bid Contract Amount NAME ADDRESS AND EMPLOYEE S IDENTIFICATION NUMBER CCB Registration Number Mailing Address 3 DAY AND DATE.
oregon payroll certified 2009-2018 form
Bureau of labor and industries wage and hour division payroll/certified statement form wh-38 for use in complying with ors 279c.845* prime contractor subcontractor payroll no. business name (dba): project name: street address: mailing address:...
weekly payroll form
Massachusetts weekly certified payroll report form company's name: address: phone no.: payroll no.: employer's signature: title: contract no: tax payer id no. work week ending: awarding authority's name: public works project name: public works...
new york city certified payroll form
Department of labor bureau of public work weekly payroll for contractor's optional use. the use of this form meets payroll notification requirements; as stated on the payroll records notification. subcontractor address name of contractor fein for...
alaska certified 2013-2018 form
Certified payroll form 07-6058 statement of compliance contractors & subcontractors please note ssn must be listed for each employee on payroll 8 aac 30.020 certified payroll. (a) all contractors (including owner/operators) who perform work on a...
ridlt 149 2011 form
Ri dept of labor & training- division of workforce regulation & safety professional regulation unit/prevailing wage section 1511 pontiac avenue building 70 p.o. box 20247 cranston, ri 02920-0943 ri certified weekly payroll contractor: address:...
Sample Certified Payroll Form - Connecticut Department of Labor - ctdol state ct
New in accordance with section 31-53b(a) of the cg.s. each contractor certified payroll on the proj ect. shall provide a copy of the osha 10 hour construction section owner and # total carrier 123 e-' total co. m/b24 rate net 2.01i. namem/.c...
rhode island certified payroll forms
Instructions for preparing ri certified weekly payroll forms certified payroll heading: employer name & address: enter name, address, phone number and e-mail of general contractor and sub-contractor (if applicable). week ending: enter week ending...
Certified Payroll Form (PDF) - uc
Certified payroll report employer name & address name of general / prime contractor project name & location contracting public authority check if subcontractor week ending payroll # project number page of 1. employee name, address and social...
kansas city certified payroll report form
City of kansas city, missouri certified payroll report instructions general instructions: each space on the attached certified payroll report requiring information is numbered. the numbers below correspond to those spaces. when completing the...
rhode island certified payroll forms
Ri department of labor and training - division of workforce regulation & safety professional regulation unit/prevailing wage section1511 pontiac avenue building 70, p.o. box 20247 cranston, ri 02920-0943rhode island certified weekly...
