Get U.S. DoL Form

Get U.S. DoL Form

The U.S. Department of Labor (DoL) form is a document used to collect essential information related to labor standards and employment practices. This form helps ensure compliance with federal labor laws and regulations, providing a standardized way for employers and employees to report and address workplace issues. Understanding how to properly fill out this form is crucial for both parties to protect their rights and responsibilities.

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Structure

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 essential tools in this mission is the DoL form, which serves various purposes, including reporting workplace injuries, requesting wage information, and filing complaints related to labor violations. These forms are designed to gather vital information that helps the DoL monitor compliance with labor laws and regulations. They can be used by employees, employers, and other stakeholders to facilitate communication and address concerns regarding workplace conditions. Completing these forms accurately and promptly is important, as they can influence the outcome of investigations or claims. Understanding the nuances of the DoL form, including the specific requirements for each type and the process for submission, is key for anyone involved in labor-related issues. This article will explore the major aspects of the U.S. DoL form, providing insights into its significance and practical guidance for navigating the complexities of labor documentation.

U.S. DoL Preview

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 Data

Fact Name Description
Purpose The U.S. Department of Labor (DoL) form is used to collect information related to labor standards and employment practices.
Types of Forms There are various forms, including those for wage and hour claims, workplace safety, and employee benefits.
Filing Requirements Employers must submit the appropriate forms to comply with federal and state labor laws.
State-Specific Forms Many states have their own forms that align with state labor laws. For example, California's governing law is the California Labor Code.
Submission Process Forms can typically be submitted online, by mail, or in person, depending on the specific requirements of the form.
Confidentiality Information submitted through these forms is often kept confidential, protecting the privacy of individuals involved.
Penalties for Non-Compliance Failure to submit required forms can result in fines or other penalties imposed by the DoL or state agencies.
Assistance Available The DoL provides resources and assistance for individuals and employers to understand and complete the forms correctly.
Updates and Changes Forms and regulations are subject to change, so it is essential to stay informed about any updates from the DoL.

How to Use U.S. DoL

Filling out the U.S. Department of Labor (DoL) form requires attention to detail and accuracy. Once you complete the form, it will be submitted to the appropriate office for processing. Ensure you have all necessary information ready before you start. Here are the steps to fill out the form:

  1. Obtain the correct form from the U.S. Department of Labor's website or your local office.
  2. Read the instructions carefully to understand the requirements.
  3. Gather all relevant information and documents needed to complete the form.
  4. Start filling out the form with your personal information, such as name, address, and contact details.
  5. Provide any required employment details, including your employer's name and address.
  6. Complete any sections that pertain to your specific situation or claim.
  7. Review the form for accuracy, ensuring all information is correct and complete.
  8. Sign and date the form where indicated.
  9. Make a copy of the completed form for your records.
  10. Submit the form according to the instructions, either by mail or electronically.

After submission, keep track of any confirmation or reference number provided. This will help you follow up on your application or inquiry if needed.

Key Facts 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 employment, labor standards, and workplace rights. It can include forms for reporting wage and hour violations, requesting information, or filing complaints regarding workplace issues.

Who needs to fill out a DoL form?

Any employee, employer, or organization that needs to report issues related to labor laws may need to fill out a DoL form. This includes individuals seeking to file complaints about wage theft, discrimination, or unsafe working conditions.

How do I obtain a DoL form?

You can obtain a DoL form by visiting the official U.S. Department of Labor website. Most forms are available for download in PDF format. Additionally, you can request a form by contacting your local DoL office.

What information do I need to provide on the DoL form?

The information required typically includes your personal details, the nature of your complaint, relevant dates, and any supporting documentation. Be sure to provide as much detail as possible to facilitate the review process.

How do I submit a DoL form?

You can submit the completed DoL form online, by mail, or in person at your local DoL office. Make sure to follow the specific submission instructions provided with the form to ensure proper processing.

Is there a deadline for submitting a DoL form?

Yes, there are deadlines that vary depending on the type of complaint or request. For instance, wage and hour claims often have a two-year statute of limitations. Check the specific guidelines for the form you are submitting to ensure compliance.

What happens after I submit a DoL form?

After submission, your form will be reviewed by a DoL representative. They may contact you for additional information or clarification. Depending on the nature of your submission, an investigation may be initiated.

Will my information be kept confidential?

The DoL takes confidentiality seriously. While some information may be shared during investigations, your personal details are typically kept confidential to protect your privacy.

Can I appeal a decision made by the DoL?

Yes, if you disagree with a decision made by the DoL, you may have the right to appeal. The process for appealing will depend on the specific program or issue involved. Check the DoL website for detailed instructions on how to proceed.

Where can I find more information about the DoL and its forms?

For more information, visit the official U.S. Department of Labor website. There, you can find resources, guides, and contact information for further assistance regarding your specific needs.

Common mistakes

Filling out the U.S. Department of Labor (DoL) form can be a daunting task, and many individuals make common mistakes that can lead to delays or complications. One frequent error is failing to provide complete information. Omitting essential details, such as contact information or specific dates, can result in processing issues. It is crucial to double-check all entries to ensure nothing is missing.

Another common mistake is using incorrect or outdated information. Individuals sometimes rely on memory rather than verifying facts. For instance, using an old address or previous employment details can create discrepancies that might complicate the application process.

Inaccurate calculations are also a frequent pitfall. When reporting wages or hours worked, even minor miscalculations can lead to significant problems. It is advisable to review all numerical entries carefully to avoid errors that could affect eligibility or benefits.

Many applicants neglect to read the instructions thoroughly. Each form comes with specific guidelines that clarify what is required. Ignoring these instructions can result in incomplete submissions or the need for resubmission, wasting valuable time.

Additionally, failing to sign and date the form is a common oversight. Without a signature, the application may be considered invalid. It is essential to ensure that all required signatures are present before submission.

Some individuals may submit the form without making copies for their records. Keeping a copy of the completed form is important for future reference and can be invaluable if any issues arise later.

Another mistake is not checking for consistency across all documents. If the information provided on the DoL form conflicts with other submitted documents, it may raise red flags and lead to further scrutiny. Consistency is key in ensuring a smooth process.

People often forget to include supporting documentation. Certain claims require additional evidence, such as pay stubs or tax forms. Failing to include these documents can delay the review process or result in denial.

Lastly, procrastination can lead to rushed submissions. Filling out the form at the last minute increases the likelihood of making errors. Taking the time to complete the form carefully and thoughtfully is essential for a successful outcome.

Documents used along the form

When dealing with employment-related matters, various forms and documents complement the U.S. Department of Labor (DoL) form. Each of these documents plays a crucial role in ensuring compliance with labor laws and protecting the rights of workers. Below is a list of some commonly used forms and documents.

  • Employment Application: This form collects information about a job applicant’s qualifications, work history, and education. It helps employers assess candidates for potential hiring.
  • W-2 Form: Employers use this tax form to report an employee's annual wages and the amount of taxes withheld. Employees receive a W-2 to file their income tax returns.
  • Form I-9: This document verifies the identity and employment authorization of individuals hired for employment in the United States. Employers must complete it for every new hire.
  • Employee Handbook: This document outlines company policies, employee rights, and expectations. It serves as a guide for employees to understand workplace rules and procedures.
  • Separation Agreement: This legal document is used when an employee leaves a company. It outlines the terms of the separation, including any severance pay and confidentiality clauses.

Understanding these forms and documents can help both employers and employees navigate the complexities of labor regulations. Each plays a vital role in fostering a fair and transparent workplace environment.

Similar forms

The U.S. Department of Labor (DoL) has several forms that serve similar purposes in terms of employment and labor regulations. Here are seven documents that share similarities with the U.S. DoL form:

  • Form I-9: This form verifies the identity and employment authorization of individuals hired for employment in the United States. Like the DoL form, it ensures compliance with federal employment laws.
  • W-2 Form: Employers use this form to report wages paid to employees and the taxes withheld. Similar to the DoL form, it is essential for tax compliance and employee record-keeping.
  • Form 1099: This form is used to report income received by independent contractors. It shares the purpose of documenting employment-related information, much like the DoL form.
  • Form 940: Employers file this form to report their annual Federal Unemployment Tax Act (FUTA) tax. It relates to labor regulations, similar to the DoL form, by ensuring compliance with unemployment tax laws.
  • Form 941: This quarterly form is used to report income taxes, Social Security tax, and Medicare tax withheld from employee paychecks. It is similar to the DoL form in its role in payroll and tax reporting.
  • Form OSHA 300: This form records work-related injuries and illnesses. Like the DoL form, it helps ensure workplace safety and compliance with labor regulations.
  • Form WH-1: This is the Wage and Hour Division's form for filing complaints about wage violations. It serves a similar purpose to the DoL form by addressing labor rights and protections.

Dos and Don'ts

When filling out the U.S. Department of Labor (DoL) form, it's essential to approach the task with care. Here are four important things to keep in mind:

  • Do double-check your information. Ensure that all details are accurate and up-to-date to avoid delays.
  • Don't rush through the process. Take your time to read each section carefully. Mistakes can lead to complications.
  • Do follow the instructions provided. Each form comes with specific guidelines. Adhering to these can save you time and effort.
  • Don't leave any fields blank. If a question does not apply to you, write "N/A" instead of skipping it entirely.

By following these simple dos and don’ts, you can help ensure that your submission is processed smoothly and efficiently. Remember, attention to detail is key!

Misconceptions

The U.S. Department of Labor (DoL) forms are often misunderstood. Here are four common misconceptions about them:

  • All DoL forms are the same. Many people believe that all forms issued by the DoL serve the same purpose. In reality, each form is designed for specific functions, such as wage and hour compliance, labor statistics, or workplace safety. Understanding the specific purpose of each form is crucial for accurate reporting and compliance.
  • Filing a DoL form is optional. Some individuals think that submitting DoL forms is not mandatory. However, in many cases, these forms are required by law. Failing to file the appropriate forms can lead to penalties or legal issues.
  • DoL forms can be filled out at any time. There is a misconception that the timing of form submission is flexible. In fact, many forms have strict deadlines. Late submissions can result in complications, including fines or loss of benefits.
  • Help is not available for filling out DoL forms. Many believe that assistance is not accessible when completing these forms. However, various resources, including official websites and local labor offices, provide guidance and support. Seeking help can ensure forms are completed correctly and submitted on time.

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. Here are some key takeaways:

  • Understand the Purpose: Know why you are filling out the form. Each form serves a specific purpose, such as reporting wages or requesting benefits.
  • Gather Necessary Information: Before starting, collect all required information. This may include personal details, employment history, and relevant documentation.
  • Be Accurate: Ensure that all information is correct. Mistakes can lead to delays or complications in processing your request.
  • Follow Instructions: Carefully read the instructions provided with the form. Each form may have unique requirements that must be followed.
  • Check Deadlines: Be aware of any deadlines associated with the form. Submitting your form late can affect your eligibility for benefits or services.
  • Keep Copies: After submission, retain copies of the completed form and any supporting documents. This can be useful for future reference.
  • Seek Help if Needed: If you have questions or need assistance, don’t hesitate to reach out for help. Resources are available, including hotlines and local offices.

By keeping these takeaways in mind, individuals can navigate the process of filling out and using U.S. DoL forms more effectively.