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Get OH Gov Form whpw 1512

Print Form PREVAILING WAGE NOTIFICATION TO EMPLOYEE Project Name Job Number Contractor Project Location Jobsite posting of prevailing wage rates located Employee Prevailing Wage Coordinator Name Street City State / Zip Phone You will be performing work on this project that falls under these classifications. You will be paid the appropriate rate for the type of work you are performing. Classification Rate Total Package Minus Your Fringe Benefits Your Hourly Base Rate Hourly fringe benefits paid on your behalf by this company. Fringe Amount Health Insurance Life Insurance Holiday Pension Sick Pay Bonus Training Other TOTAL HOURLY FRINGES Contractor s Signature Date Employee s Signature whpw1512. You will be paid the appropriate rate for the type of work you are performing. Classification Rate Total Package Minus Your Fringe Benefits Your Hourly Base Rate Hourly fringe benefits paid on your behalf by this company. Fringe Amount Health Insurance Life Insurance Holiday Pension Sick Pay Bonus Training Other TOTAL HOURLY FRINGES Contractor s Signature Date Employee s Signature whpw1512. .

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  • coordinator
  • fringe
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