Get DoL WHD WH-347 2008-2024

Dol.gov/whd/forms/wh347instr.htm Rev. Dec. 2008 Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. NAME OF CONTRACTOR ADDRESS OR SUBCONTRACTOR NAME AND INDIVIDUAL IDENTIFYING NUMBER e.g. LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER OF WORKER WORK CLASSIFICATION 4 DAY AND DATE HOURS WORKED EACH DAY TOTAL HOURS RATE OF PAY GROSS AMOUNT EARNED OT. OR ST. PROJECT OR CONTRACT NO. PROJECT AND LOCATION FOR WEEK ENDING NO. OF WITHHOLDiNG EXEMPTIONS OMB No. 1235-0008 Expires 01/31/2015 DEDUCTIONS FICA TAX OTHER NET WAGES PAID DEDUCTIONS FOR WEEK O S While completion of Form WH-347 is optional it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C. OR ST. PROJECT OR CONTRACT NO. PROJECT AND LOCATION FOR WEEK ENDING NO. OF WITHHOLDiNG EXEMPTIONS OMB No. 1235-0008 Expires 01/31/2015 DEDUCTIONS FICA TAX OTHER NET WAGES PAID DEDUCTIONS FOR WEEK O S While completion of Form WH-347 is optional it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C. F.R. 3. 3 5. 5 a. The Copeland Act 40 U.S.C. 3145 contractors and subcontractors performing work on Federally financed or assisted construction contracts to furnish weekly a statement with respect to the wages paid each employee during the preceding week. U.S. Department of Labor PAYROLL Wage and Hour Division For Contractor s Optional Use See Instructions at www. F.R. Subtitle A issued by the Secretary of Labor under the Copeland Act as amended 48 Stat. 948 63 Start. 108 72 Stat. 967 76 Stat. 357 40 U.S.C. 3145 and described below REMARKS 2 That any payrolls otherwise under this contract required to be submitted for t he above period are correct and complete that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract that the classifications set forth therein for each laborer or mechanic conform with the work he performed. 3 That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training United States Department of Labor or if no such recognized agency exists in a State are registered with the Bureau of Apprenticeship and Training United States Department of Labor. 4 That in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll payments of fringe bene fits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees except as noted in section 4 c below. Public Burden Statement We estimate that is 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 Date I b WHERE FRINGE BENEFITS ARE PAID IN CASH Name of Signatory Party Title do hereby state 1 That I pay or supervise the payment of the persons employed by on the Contractor or Subcontractor EXCEPTION CRAFT EXPLANATION that during the payroll period commencing on the Building or Work day of Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract except as noted in section 4 c below. and ending the all persons employed on said project have been paid the f ull 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 3 29 C. F.R. Subtitle A issued by the Secretary of Labor under the Copeland Act as amended 48 Stat. 948 63 Start. U.S. Department of Labor DOL regulations at 29 C. F.R. 5. 5 a 3 ii require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project accompanied by a signed Statement of Compliance indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that is 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 Date I b WHERE FRINGE BENEFITS ARE PAID IN CASH Name of Signatory Party Title do hereby state 1 That I pay or supervise the payment of the persons employed by on the Contractor or Subcontractor EXCEPTION CRAFT EXPLANATION that during the payroll period commencing on the Building or Work day of Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract except as noted in section 4 c below. and ending the all persons employed on said project have been paid the f ull 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 3 29 C. F.R. 3. 3 5. 5 a. The Copeland Act 40 U.S.C. 3145 contractors and subcontractors performing work on Federally financed or assisted construction contracts to furnish weekly a statement with respect to the wages paid each employee during the preceding week. U.S. Department of Labor DOL regulations at 29 C. F.R. 5. 5 a 3 ii require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project accompanied by a signed Statement of Compliance indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits. Public Burden Statement We estimate that is 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 Date I b WHERE FRINGE BENEFITS ARE PAID IN CASH Name of Signatory Party Title do hereby state 1 That I pay or supervise the payment of the persons employed by on the Contractor or Subcontractor EXCEPTION CRAFT EXPLANATION that during the payroll period commencing on the Building or Work day of Each laborer or mechanic listed in the above referenced payroll has been paid as indicated on the payroll an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract except as noted in section 4 c below. 108 72 Stat. 967 76 Stat. 357 40 U.S.C. 3145 and described below REMARKS 2 That any payrolls otherwise under this contract required to be submitted for t he above period are correct and complete that the wage rates for laborers or mechanics contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract that the classifications set forth therein for each laborer or mechanic conform with the work he performed. 3 That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a State apprenticeship agency recognized by the Bureau of Apprenticeship and Training United States Department of Labor or if no such recognized agency exists in a State are registered with the Bureau of Apprenticeship and Training United States Department of Labor. 4 That in addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll payments of fringe bene fits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees except as noted in section 4 c below. NAME AND TITLE SIGNATURE THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR 31 OF THE UNITED STATES CODE.. .