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The U.S. Department of Labor (DoL) plays a crucial role in ensuring fair labor practices and protecting workers' rights across the nation. One of the key tools in this mission is the DoL form, which serves various purposes, including reporting, compliance, and application processes. This form is often required for employers and employees to document important information related to wages, working conditions, and safety regulations. By filling out the DoL form, individuals can report issues such as workplace discrimination, unsafe working environments, or wage violations. Additionally, the form may be used to apply for benefits or to request information about labor laws. Understanding the major aspects of the DoL form is essential for both employers and employees, as it helps to navigate the complexities of labor regulations and ensures that everyone is aware of their rights and responsibilities in the workplace.

Form Sample

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

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

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)

PROJECT NAME

PROJECT NO. or CONTRACT NO.

PAYROLL NO.

PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS NAME

PROJECT LOCATION

 

WEEK ENDING DATE

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

 

 

 

 

 

OA

 

SAA

 

 

 

 

 

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

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

 

TOTAL

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

 

NAME OF WORKER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOURLY

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CREDIT

 

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

 

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

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.

Document Specifications

Fact Name Description
Purpose The U.S. Department of Labor (DoL) form is used to collect information for various labor-related purposes, including wage and hour compliance.
Types of Forms There are multiple types of DoL forms, including those for wage determination, labor condition applications, and employee complaints.
Submission Process Forms must be submitted electronically or by mail, depending on the specific requirements outlined for each form type.
State-Specific Forms Many states have their own forms that align with the federal DoL requirements, governed by state labor laws.
Governing Laws State-specific forms are often governed by laws such as the Fair Labor Standards Act (FLSA) and state wage and hour laws.
Record Keeping Employers are required to keep copies of submitted forms for a specific period, usually three years, for compliance purposes.
Penalties for Non-Compliance Failure to complete and submit the required forms can result in penalties, including fines and legal action.
Assistance The DoL provides resources and assistance for individuals and employers to understand and complete the forms correctly.
Updates Forms and requirements may change; it is essential to check the DoL website for the latest versions and instructions.

Steps to Filling Out U.S. DoL

Filling out the U.S. Department of Labor (DoL) form requires careful attention to detail. After completing the form, you will need to submit it to the appropriate agency for processing. Ensure that all information is accurate and complete to avoid delays.

  1. Obtain the correct form from the U.S. Department of Labor website or your local office.
  2. Read the instructions carefully to understand the requirements.
  3. Fill in your personal information, including your name, address, and contact details.
  4. Provide any necessary identification numbers, such as Social Security or employer identification numbers.
  5. Complete the sections relevant to your situation, ensuring all fields are filled out as required.
  6. Review your entries for accuracy and completeness.
  7. Sign and date the form where indicated.
  8. Make a copy of the completed form for your records.
  9. Submit the form according to the provided instructions, either by mail or electronically.

More About U.S. DoL

What is the U.S. Department of Labor (DoL) form?

The U.S. Department of Labor (DoL) form is a document used for various purposes related to labor laws and regulations. These forms can include applications for wage determinations, labor condition applications, and more. They help ensure compliance with federal labor standards and protect workers' rights.

Who needs to fill out a DoL form?

Employers, employees, and organizations involved in labor-related activities may need to fill out a DoL form. For example, employers seeking to hire foreign workers may need to complete specific forms to comply with labor regulations. Employees may also use these forms to report violations or request information about their rights.

How do I obtain a DoL form?

You can obtain a DoL form directly from the U.S. Department of Labor's website. Most forms are available for download in PDF format. Alternatively, you can contact your local DoL office for assistance in obtaining the necessary forms.

What information is typically required on a DoL form?

The information required can vary depending on the specific form. Generally, you may need to provide details such as your name, contact information, employer information, and specific details related to the purpose of the form. Always read the instructions carefully to ensure you include all necessary information.

Are there deadlines for submitting DoL forms?

Yes, many DoL forms have specific deadlines for submission. These deadlines can depend on the type of form and the context in which it is used. It is crucial to check the guidelines associated with each form to ensure timely submission and compliance with regulations.

What happens after I submit a DoL form?

After submission, the DoL will review the form. Depending on the type of form, you may receive a confirmation, a request for additional information, or a decision regarding your application or report. The processing time can vary, so it’s essential to stay informed about the status of your submission.

Can I appeal a decision made based on a DoL form?

Yes, in many cases, you can appeal a decision made by the DoL. The process for appealing will depend on the specific decision and the associated regulations. Be sure to follow the instructions provided with the decision to understand your options for appeal.

Is there a fee associated with submitting a DoL form?

Most DoL forms do not require a fee for submission. However, some specific applications or requests may involve fees. Always check the guidelines for the particular form you are submitting to confirm whether a fee is required.

Where can I find assistance if I have questions about a DoL form?

If you have questions about a DoL form, you can contact the U.S. Department of Labor directly. They provide resources, including phone numbers and email addresses, for inquiries. Additionally, many local labor offices can offer assistance and guidance regarding the completion and submission of forms.

Common mistakes

  1. Failing to provide accurate personal information. Ensure that names, addresses, and contact details are correct.

  2. Not signing the form. A signature is often required to validate the submission.

  3. Missing deadlines. Submit the form within the specified time frame to avoid delays.

  4. Inadequate documentation. Attach all necessary supporting documents to avoid processing issues.

  5. Using unclear language. Write clearly and concisely to prevent misunderstandings.

  6. Overlooking instructions. Read all guidelines carefully before filling out the form.

  7. Not keeping a copy. Always retain a copy of the submitted form for your records.

  8. Providing incomplete answers. Answer all questions fully to ensure a smooth process.

Documents used along the form

When working with the U.S. Department of Labor (DoL) forms, several other documents and forms may be necessary to ensure compliance and facilitate smooth processing. Each of these documents serves a specific purpose and is often required in conjunction with the DoL forms.

  • Form I-9: This document verifies the identity and employment authorization of individuals hired for employment in the United States. Employers must complete this form for each employee to comply with federal law.
  • W-2 Form: Issued by employers, this form reports an employee's annual wages and the taxes withheld from their paycheck. Employees use it to file their income tax returns.
  • W-4 Form: This form allows employees to indicate their tax withholding preferences. Employers use the information to determine the amount of federal income tax to withhold from employees' paychecks.
  • Form 1099: Used to report various types of income other than wages, salaries, and tips, this form is essential for independent contractors and freelancers to report their earnings to the IRS.
  • Labor Condition Application (LCA): Required for employers seeking to hire foreign workers under certain visa programs, the LCA outlines the working conditions and wage standards for the position.
  • Equal Employment Opportunity (EEO) Form: This form collects data on the demographic characteristics of employees and applicants. It helps ensure compliance with anti-discrimination laws.
  • Employee Handbook: While not a formal document submitted to the DoL, an employee handbook outlines company policies, procedures, and employee rights, serving as a reference for both employers and employees.
  • Job Description: This document details the responsibilities, qualifications, and expectations for a specific position. It is essential for recruitment, performance evaluations, and compliance with labor regulations.

Understanding these forms and documents is crucial for employers and employees alike. Properly managing them ensures compliance with labor laws and helps maintain a fair and organized workplace.

Similar forms

The U.S. Department of Labor (DoL) form serves a critical role in ensuring compliance with labor laws and regulations. Similar to the DoL form, the Employee's Withholding Certificate (Form W-4) is essential for tax purposes. Employees use the W-4 to indicate their tax withholding preferences to their employers. This document helps employers determine the amount of federal income tax to withhold from employees' paychecks, ultimately impacting their take-home pay. Just as the DoL form facilitates labor compliance, the W-4 ensures that employees meet their tax obligations accurately and efficiently.

Another document that shares similarities with the DoL form is the Fair Labor Standards Act (FLSA) poster. This poster must be displayed in the workplace and informs employees of their rights under the FLSA, including minimum wage and overtime pay. Like the DoL form, the FLSA poster serves to educate workers about their rights and the responsibilities of their employers. Both documents promote transparency and help create a fair working environment.

The Occupational Safety and Health Administration (OSHA) injury and illness recordkeeping forms also bear resemblance to the DoL form. Employers must use these forms to document workplace injuries and illnesses, ensuring compliance with safety regulations. By requiring accurate recordkeeping, OSHA aims to promote a safer workplace, similar to how the DoL form ensures that labor laws are followed. Both documents highlight the importance of maintaining a safe and compliant work environment.

The Form I-9, Employment Eligibility Verification, is another important document that aligns with the objectives of the DoL form. Employers use the I-9 to verify an employee's identity and eligibility to work in the United States. This form is crucial for preventing unauthorized employment, just as the DoL form is essential for ensuring compliance with labor standards. Both documents emphasize the importance of lawful employment practices and worker rights.

The Family and Medical Leave Act (FMLA) certification form also shares common ground with the DoL form. This form allows employees to request leave for family or medical reasons while ensuring their job protection. The FMLA form, like the DoL form, underscores the importance of balancing work and personal responsibilities. Both documents reflect the commitment to supporting employees in their rights and needs.

The Form 1099-MISC is another document that relates to labor compliance, particularly for independent contractors. This form reports income earned by non-employees, ensuring that they fulfill their tax obligations. While the DoL form focuses on employee rights and protections, the 1099-MISC emphasizes the importance of proper classification and reporting of workers. Both documents serve to uphold the integrity of labor practices in the United States.

Additionally, the Social Security Administration (SSA) form for wage reporting is similar to the DoL form in its purpose of ensuring accurate reporting of employee wages. Employers must submit this form to report earnings to the SSA, which is essential for determining future benefits for employees. Like the DoL form, this document plays a vital role in protecting workers' rights and ensuring they receive the benefits to which they are entitled.

Finally, the state-specific labor law posters are akin to the DoL form in that they inform employees of their rights under state laws. These posters vary by state but generally cover topics such as minimum wage, anti-discrimination laws, and workplace safety. Just as the DoL form aims to educate workers about their rights at the federal level, state labor law posters serve a similar purpose at the state level, fostering an informed workforce.

Dos and Don'ts

When filling out the U.S. Department of Labor (DoL) form, it is crucial to follow specific guidelines to ensure accuracy and compliance. Below is a list of things you should and shouldn't do.

Things You Should Do:

  • Read the instructions carefully before starting.
  • Provide accurate and complete information.
  • Double-check all entries for spelling and numerical accuracy.
  • Use black or blue ink if filling out a paper form.
  • Sign and date the form where required.

Things You Shouldn't Do:

  • Do not leave any required fields blank.
  • Do not provide false information or exaggerate facts.
  • Do not forget to keep a copy of the completed form for your records.
  • Do not submit the form without reviewing it first.

Misconceptions

Understanding the U.S. Department of Labor (DoL) form can be confusing. Here are some common misconceptions and clarifications regarding this important document.

  1. It is only for employees.

    Many believe that only employees need to fill out the DoL form. In reality, employers must also complete certain sections, especially when reporting labor-related issues.

  2. All DoL forms are the same.

    There are various types of DoL forms, each serving a different purpose. Understanding the specific form required for your situation is crucial.

  3. Submitting the form is optional.

    Submitting the DoL form is often a legal requirement. Failing to submit it when necessary can lead to penalties or legal complications.

  4. It only concerns wages.

    While wages are a significant aspect, the DoL form can also address issues like workplace safety, discrimination, and employee benefits.

  5. Once submitted, the form cannot be changed.

    In some cases, you can amend the form after submission. However, it's essential to follow the proper procedures for making corrections.

  6. It is only relevant for large companies.

    Small businesses are also subject to DoL regulations. They must comply with the same requirements as larger organizations.

  7. The form is only necessary for federal employees.

    State and local employees may also need to fill out the DoL form, depending on the nature of their employment and applicable laws.

  8. Filing the form guarantees a resolution.

    While filing the form is an important step, it does not guarantee that the issue will be resolved in your favor. The outcome depends on various factors, including the specifics of the case.

Key takeaways

When it comes to filling out and using the U.S. Department of Labor (DoL) form, there are several important points to keep in mind. Below are key takeaways that can help ensure a smooth process.

  • Understand the Purpose: Familiarize yourself with the specific purpose of the form you are completing. Each form serves a different function, whether it's for wage claims, workplace safety, or labor statistics.
  • Gather Required Information: Before starting, collect all necessary information and documentation. This may include identification details, employment history, and any relevant correspondence.
  • Be Accurate: Accuracy is crucial. Double-check all entries to avoid errors that could delay processing or lead to complications.
  • Follow Instructions Carefully: Each form comes with specific instructions. Follow them closely to ensure compliance and completeness.
  • Keep Copies: Always retain copies of the completed form and any supporting documents. This can be invaluable for future reference or in case of disputes.
  • Know the Submission Process: Understand how to submit the form, whether electronically or by mail. Be aware of any deadlines to ensure timely processing.

By keeping these points in mind, you can navigate the process more effectively and with greater confidence.