
CONTRACTORS APPLICATION FOR PAYMENT State Form 1926 (R4 / 910) / DAPW 17Application Number PUBLIC WORKS PROJECT NUMBER PROJECT DESCRIPTION INSTITUTION/AGENCY To: Public Works Division,.
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How to fill out the IN State Form 1926 DAPW 17 online
Filling out the IN State Form 1926 DAPW 17 is a crucial process for contractors seeking payment for work completed on public projects. This guide provides a clear and concise walkthrough to ensure users can complete the form accurately and efficiently.
Follow the steps to fill out the form correctly.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Enter the application number in the designated field; this number is unique to your application and essential for tracking.
- Fill in the public works project number and provide a brief description of the project in the respective fields.
- Specify the institution or agency name that the application is associated with.
- In the section titled 'Total completed & stored to date', enter the cumulative amount of work successfully completed.
- Calculate the retainage—that is, 3% of the total completed work. This figure will be automatically indicated in the next field as retainage this pay.
- Complete the fields for the contractor's information, including the address, city, state, and zip code.
- In the 'Total earned less retainage' section, deduct the retainage from the total completed amount to find your earning.
- Subtract previous certificates from your total earned to arrive at the current payment due.
- Ensure to sign the application, noting your title, and prepare it for notarization by having it signed by a notary public.
- Finally, once all fields are completed, users can save changes, download, print, or share the form as necessary.
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