The U.S. Department of Labor (DoL) form is a document used to collect important information regarding employment and labor practices. This form plays a crucial role in ensuring compliance with labor laws and protecting workers' rights. If you need to fill out the form, please click the button below.
The U.S. Department of Labor (DoL) form is a crucial document that plays a significant role in various labor-related processes, impacting both employers and employees. This form encompasses a range of essential information, including wage and hour compliance, workplace safety, and employee rights. It serves as a means for reporting violations, requesting information, or applying for benefits. Understanding the intricacies of this form is vital for navigating the complexities of labor laws and ensuring compliance with federal regulations. Employers must be aware of the specific requirements outlined in the form to avoid potential penalties, while employees should familiarize themselves with its content to protect their rights and entitlements. Timely and accurate completion of the DoL form can make a substantial difference in resolving disputes and fostering a fair work environment.
U.S. Department of Labor Davis-Bacon and Related Acts Weekly Certified Payroll Form
Wage and Hour Division
(For Contractor’s Optional Use; See Instructions at www.dol.gov/whd/forms/wh347instr.htm)
Unless otherwise noted, the information requested is specific to the named project below.
Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number.
SUBMISSION OF FINAL DBRA CERTIFIED PAYROLL FORM
PRIME CONTRACTOR
SUBCONTRACTOR
Rev. January 2025
OMB No.: 1235-0008
Expires: 01/31/2028
PROJECT NAME
PROJECT NO. or CONTRACT NO.
CERTIFIED PAYROLL NO.
PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS NAME
PROJECT LOCATION
WAGE DETERMINATION NO.
WEEK ENDING DATE
PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS ADDRESS
(1A)
(1B)
(1C)
(1D)
(1E)
(2)
(3)
(4)
(5)
(6A)
(6B)
(6C)
(7A)
(7B)
(8)
NO.ENTRYWORKER
NAMELASTWORKER
FIRSTWORKER NAME
MIDDLEWORKER INITIAL
WORKER NO.IDENTIFYING
JOURNEYWORKER(J)
REGISTERD(RA)
APPRENTICE
LABOR CLASSIFICATION
TIMESTRAIGHT=ST
OVERTIME=OT
(TOP) DAYS OF WORK WEEK
HOURSTOTAL WEEKFORWORKED
RATEWAGEHOURLY ANDSTFORPAIDOT
FRINGETOTAL CREDITBENEFIT
LIEUINPAYMENTOF BENEFITSFRINGE
EARNEDAMTGROSS
EARNEDAMTGROSS WORKALLFOR
DEDUCTIONS FOR ALL WORK
(BOTTOM) DATES
-WITHTAX HOLDINGS
FICA
(MUSTOTHER
SEESPECIFY, INSTRUCTIONS)
TOTAL DEDUCTIONS
HOURS WORKED
EACH DAY
(9)
FOR ALL WORK
NET PAY TO WORKER
ST
OT
While use of Form WH-347 itself is optional, covered contractors and subcontractors performing work on Federal or federally assisted construction contracts are required by the DBRA regulations and the contract clauses to submit payroll information on a weekly basis. The Copeland Act (40 U.S.C. § 3145) requires contractors and subcontractors performing work on Federal or federally financed construction contracts to, on a weekly basis, “furnish a statement on the wages paid each employee during the prior week.” U.S. Department of Labor (DOL) Regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors and subcontractors to submit weekly certified payrolls to the appropriate Federal agency if the agency is a party to the contract (or, if the agency is not such a party, to the applicant, sponsor, owner, or other entity, as the case may be, that maintains such records, for transmission to the Federal agency). Each certified payroll must be accompanied by a signed “Statement of Compliance” (e.g., page 2 of the WH-347 or another document with identical wording) indicating that the certified payrolls are accurate and complete, and that each laborer or mechanic has been paid not less than the required Davis-Bacon prevailing wage rate(s) (including any fringe benefits) for the work performed. DOL and contracting agencies receiving this information review the information to determine whether workers have received legally required wages and fringe benefits.
Public Burden Statement
We estimate that it will take an average of 55 minutes to complete this collection, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. If you have any comments regarding these estimates or any other aspect of this collection, including suggestions for reducing this burden, send them to the Administrator, Wage and Hour Division, U.S. Department of Labor, Room S3502,
200 Constitution Avenue, N.W. Washington, D.C. 20210
(over)
PAYROLL NO.
CERTIFYING OFFICIAL’s NAME AND TITLE
I paid or supervised the payment of the laborers or mechanics working on the above project during the stated time period. I certify the following:
The payroll information submitted with this statement is correct and complete for the above project during the above period, and the wage and fringe benefit rates paid to the workers,
including credit taken for the reasonably anticipated costs of a bona fide fringe benefit plan, fund or program, are not less than the applicable wage and fringe benefits rates for the classification(s) of work actually performed, as specified in the wage determination(s) incorporated into the contract.
All regular payrolls and all other basic records that the contractor is required to maintain for this payroll period are complete and accurate and will be made available upon request from the
agency or the Department of Labor.
The classifications reported for each laborer or mechanic are the classification(s) of work that each worker actually performed.
Any workers paid as apprentices during the above period are duly registered in a bona fide apprenticeship program registered with the Office of Apprenticeship, Employment and Training
Administration, United States Department of Labor (“OA”), or a State Apprenticeship Agency (“SAA”) recognized by Department of Labor. I have verified the registered apprenticeship program information provided below as accurate and applicable to any apprentices identified on page 1 of this form.
APPRENTICESHIP PROGRAM NAME
REGISTERED
NAME OF LABOR CLASSIFICATION
OA
SAA
Fringe benefits have been paid in cash and/or to bona fide fringe benefit plans, funds, or programs. Where the contractor is claiming an hourly credit for their contributions to or reasonably
anticipated costs of a bona fide fringe benefit plan, fund, or program, provide plan information and the hourly credit claimed for each worker listed on the previous page of this form.
HOURLY CREDIT FOR FRINGE BENEFITS
If an amount is listed in (6B) on the first page of this certified payroll form, enter the hourly credit claimed under each plan name, type and number for each worker and check whether the plan is funded or unfunded.
FB NAME
TOTAL
FB TYPE
NAME OF WORKER
HOURLY
PLAN NO.
CREDIT
Funded
Unfunded
Hourly Credit
$
Hrly Credit
All workers on the project have been paid the full weekly wages earned, and no rebates or deductions have been or will be made either directly or indirectly, other than permissible
deductions as defined in 29 CFR part 3.
ADDITIONAL REMARKS
SIGNATURE OF CERTIFYING OFFICIAL
DATE
TELEPHONE NUMBER
EMAIL ADDRESS
( __ __ __ ) __ __ __ – __ __ __ __
THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION (SEE SECTION 1001 OF TITLE 18 AND SECTION 3729 OF TITLE 31 OF THE UNITED STATES CODE), AS WELL AS DEBARMENT FROM FUTURE FEDERAL AND FEDERALLY-ASSISTED CONTRACTS. INFORMATION REPORTED IN CERTIFIED PAYROLLS MAY BE SUBJECT TO DISCLOSURE IN RESPONSE TO A FREEDOM OF INFORMATION ACT REQUEST.
Completing the U.S. Department of Labor (DoL) form is an important step in the process you are undertaking. After filling out the form, you will need to review it carefully and submit it according to the instructions provided. Ensuring accuracy and completeness will help facilitate the next steps in your application or request.
The U.S. Department of Labor (DoL) form is a document used for various purposes related to labor regulations and compliance. These forms can be required for reporting workplace injuries, filing wage claims, or submitting information about labor practices. Different forms serve different functions, so it is important to identify the specific form you need based on your situation.
Individuals, employers, and organizations may need to fill out a DoL form. For example:
Identifying your role will help determine which form is applicable to you.
You can obtain a U.S. DoL form in several ways:
Make sure to download or request the correct form for your specific needs.
After submitting a DoL form, you can expect a few different outcomes depending on the type of form and the information provided. Typically, the following steps occur:
It is important to keep a copy of your submission for your records.
Yes, there are often deadlines associated with submitting DoL forms, and these can vary based on the specific form and the situation. For instance:
To avoid complications, it is advisable to check the specific requirements for the form you are completing.
Incomplete Information: Many people forget to fill out all required fields. Leaving sections blank can delay processing. Always double-check that every necessary part is filled in.
Incorrect Dates: Entering the wrong dates can lead to confusion. Ensure that all dates are accurate and formatted correctly. This includes start and end dates for employment.
Missing Signatures: A signature is often required to validate the form. Failing to sign can result in rejection. Make sure to sign and date the form before submission.
Using Unclear Language: Vague descriptions can cause misunderstandings. Be specific and clear about your situation. This helps the reviewer understand your case better.
When dealing with employment-related matters, several forms and documents may be required alongside the U.S. Department of Labor (DoL) form. Each of these documents serves a specific purpose and can help ensure compliance with labor laws and regulations. Below is a list of commonly used forms and documents.
These forms and documents are integral to managing employment relationships and ensuring compliance with federal and state laws. Understanding their purpose can help streamline processes and protect both employees and employers.
The U.S. Department of Labor (DoL) form can be compared to the IRS Form W-2. Both documents serve as official records of income and employment. The W-2 is issued by employers to report wages paid to employees and the taxes withheld. Similarly, the DoL form may be used to document employment status or wage information for workers, ensuring compliance with labor laws.
Another similar document is the Form I-9, which is used for verifying the identity and employment authorization of individuals hired for employment in the United States. Like the DoL form, the Form I-9 is crucial for maintaining compliance with federal regulations. Both forms require accurate information about the employee and serve to protect workers' rights.
The Employment Eligibility Verification (EEV) form is also comparable. This form is used by employers to verify the eligibility of their employees to work in the U.S. The DoL form may contain similar information, focusing on the legal status of workers and ensuring they are entitled to employment under labor laws.
The Fair Labor Standards Act (FLSA) compliance form is another relevant document. This form outlines minimum wage and overtime requirements. Like the DoL form, it is essential for employers to ensure they are adhering to federal labor standards, protecting employees from unfair pay practices.
Additionally, the Occupational Safety and Health Administration (OSHA) forms share similarities. These documents are used to report workplace injuries and illnesses. Both the OSHA forms and the DoL form aim to promote safe working conditions and protect workers' rights within the labor force.
The Family and Medical Leave Act (FMLA) certification form is also similar. This document is used to request leave for family or medical reasons. The DoL form may be involved in ensuring that employees understand their rights under the FMLA, emphasizing the importance of job protection during critical life events.
The Unemployment Insurance (UI) claim form is another document that serves a similar purpose. It is used by individuals seeking unemployment benefits. Like the DoL form, the UI claim form helps to provide financial support to workers who have lost their jobs, ensuring they have access to necessary resources during difficult times.
The Employee Retirement Income Security Act (ERISA) disclosure form is also comparable. This document provides information about employee benefits and retirement plans. Both the DoL form and the ERISA disclosure are essential for informing employees of their rights and benefits, promoting transparency in the workplace.
The Worker Adjustment and Retraining Notification (WARN) Act notice is another relevant document. This notice informs employees about mass layoffs or plant closings. The DoL form may play a role in ensuring that workers are aware of their rights and the protections available to them during such transitions.
Lastly, the Equal Employment Opportunity Commission (EEOC) charge form is similar in that it addresses workplace discrimination. This form allows individuals to report discrimination based on various factors. Like the DoL form, it is vital for protecting employees' rights and ensuring a fair and equitable work environment.
When filling out the U.S. Department of Labor (DoL) form, it’s important to follow certain guidelines to ensure your submission is accurate and complete. Here are ten things you should and shouldn’t do:
Following these guidelines will help ensure your form is processed smoothly. If you have questions, consider reaching out for assistance.
There are several misconceptions regarding the U.S. Department of Labor (DoL) forms. Understanding these can help individuals navigate the process more effectively.
Clarifying these misconceptions can help individuals and employers better understand their rights and responsibilities under U.S. labor laws.
Filling out and using the U.S. Department of Labor (DoL) form can seem daunting, but understanding a few key points can make the process smoother. Here are some essential takeaways:
By keeping these points in mind, individuals can navigate the complexities of the U.S. DoL forms more effectively and confidently.