700 010 69 Form PDF Details

The 700 010 69 form, issued by the State of Florida Department of Transportation, serves a pivotal role in ensuring fair wage practices within the framework of construction projects. This comprehensive document, encompassing a statement of compliance, wage and hour record, deductions record, and fringe benefits record, mandates a declaration by signatories that all employees have received their rightfully earned wages, without improper deductions or rebates, during a specified payroll period. It further requires the assurance that payroll submissions are accurate and adhere to the minimum wage rates as per contract stipulations and that any employed apprentices are registered with recognized apprenticeship programs. Moreover, the form details the provision of fringe benefits, whether paid into approved plans or directly in cash, highlighting a commitment to upholding employee rights and labor standards. The responsibility placed on contractors or subcontractors to accurately report hourly wages, deductions, and fringe benefits underscores the form’s critical role in protecting laborers and mechanics from wage theft and promoting transparency. Notably, the document warns that falsification of these statements could lead to civil or criminal prosecution, underscoring the legal seriousness of the form's assertions.

QuestionAnswer
Form Name700 010 69 Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namesfdot form 275 010 69, 700 69 fdot form, 700 010 fdot form, 700 010 69

How to Edit 700 010 69 Form Online for Free

The 700 010 69 form must be completed accurately for each payroll period during an FDOT construction contract. Each employee entry must reflect actual wages paid, with no omissions or adjustments not authorized by law.

Step 1: Enter Project and Period Information

At the top of the form, enter the project name, FDOT contract number, and the start and end dates of the payroll period being reported.

Step 2: List Each Employee

For each worker, enter their full name, work classification (such as laborer, heavy equipment operator, or apprentice), and the number of hours worked each day during the payroll period.

Step 3: Record Wages and Deductions

Enter the hourly pay rate and total gross wages for each employee. List all authorized deductions, including federal and state income taxes. Record the net wages paid to each worker for the period.

Step 4: Complete the Fringe Benefits Section

Indicate fringe benefits provided to each employee, whether paid into an approved benefit plan or delivered directly in cash. Include the per-hour rate and the total amount for the payroll period.

Step 5: Sign the Statement of Compliance

The contractor or an authorized company representative must sign and date the Statement of Compliance at the bottom of the form. This signature certifies that all payroll records are accurate and that minimum wage rates were followed. Falsifying this statement can result in civil or criminal prosecution under Florida and federal law.

Who Needs to Use This Form

The 700 010 69 form applies to all contractors and subcontractors working on FDOT-funded construction projects. It is submitted to the project owner or contract administrator along with the weekly payroll records. Subcontractors must file their own separate submissions for each payroll period.

For payroll compliance on federally funded projects, contractors typically use the certified payroll form (WH-347) instead. Both forms serve the same core purpose: verifying that workers are paid lawful wages. You may also need the construction proposal form when bidding on FDOT contracts.

Frequently Asked Questions

What is the 700 010 69 form used for?

The 700 010 69 form is used by contractors on FDOT construction contracts to report payroll data, certify wage compliance, and document deductions and fringe benefits for each payroll period.

How often is the 700 010 69 form submitted?

The form is submitted once per weekly payroll period throughout the duration of the active construction contract. A separate submission is required for each payroll period.

Is the 700 010 69 form different from WH-347?

Yes. The 700 010 69 is specific to FDOT state contracts, while the WH-347 certified payroll form applies to federally funded projects under the Davis-Bacon Act. Both require similar payroll data but are issued by different agencies.

What happens if the form is filled out incorrectly?

Inaccurate or falsified entries on the 700 010 69 form can lead to contract penalties, disqualification from future FDOT projects, and civil or criminal prosecution. Always verify all figures before signing.