Delaware Payroll Report Form PDF Details

The Delaware Payroll Report form is a critical document that serves as a comprehensive record of payroll activities for contractors and subcontractors working on public projects in the State of Delaware. Managed by the Delaware Department of Labor, specifically within the Division of Industrial Affairs, this form is a linchpin of compliance, ensuring that workers are paid in accordance with predetermined prevailing wage rates. Its contents are meticulously detailed, requiring information such as the contractor or subcontractor’s name, project location, week ending date, contract number, day and date, hours worked each day, deductions, and the total hours, gross amount, and net wages of each employee. Furthermore, it mandates the inclusion of social security numbers, work classification, hourly rate of pay, and the value of fringe benefits, all underlined by a sworn statement by the reporting party affirming the accuracy of the submitted information and compliance with wage regulations. This declaration is crucial as it underscores a commitment to upholding the standards set forth by the State of Delaware, with significant penalties for non-compliance. By requiring employers to list fringe benefits and ensure apprentices are registered appropriately, the form not only protects workers but also promotes fairness and transparency in the labor marketplace. Intended to be submitted weekly, the form stands as a testament to the ongoing oversight and governance provided by the Delaware Department of Labor to maintain ethical labor practices across the state’s public projects.

QuestionAnswer
Form NameDelaware Payroll Report Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesdelaware form labor blank, delaware payroll form, delaware payroll form labor, delaware department of transportation payroll report

Form Preview Example

 

PAYROLL REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Labor

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

DelawareDepartmentof Labor

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF CONTRACTOR [ ] OR SUBCONTRACTOR [ ]

 

 

 

 

 

 

 

 

 

State of Delaware

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Division of Industrial Affairs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department of Labor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

225 Corporate Boulevard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4425 N. Market Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suite 104

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wilmington, DE 19802

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Newark, DE 19702

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

302-761-8200

 

 

 

 

 

 

 

 

PHONE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

302-451-3423

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJECT AND LOCATION

 

WEEK ENDING DATE

 

 

 

 

 

 

CONTRACT NUMBER

DATE OF PREVAILING WAGE DETERMINATION USED ON THIS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJECT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY & DATE & HOURS WORKED EACH DAY

 

 

 

DEDUCTIONS

 

HOURLY

 

NAME, ADDRESS AND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL HOURS &

GROSS

 

 

 

 

 

 

NET

 

 

WORK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VALUE

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT

 

 

 

 

 

 

WAGES

 

CLASSIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RATE OF PAY

 

 

 

 

 

 

 

 

OF EMPLOYEE

 

 

 

M

 

 

T

 

 

W

 

 

T

 

 

F

 

 

S

 

 

S

 

 

HOURS

RATE

EARNED

FICA

FWT

 

SWT

 

 

PAID

OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRINGES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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1.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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8.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

I,

 

 

 

(Name of signatory party)

 

(Title)

do hereby state:

 

 

1.That I pay or supervise the payment of persons employed by

 

 

 

 

 

 

 

 

 

 

on the

(Contractor or Subcontractor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

:

(public project)

 

 

 

 

 

 

 

 

that during the payroll period commencing on the

 

day of

 

, 20

 

and ending on the

 

 

day of

 

 

 

 

 

 

 

 

 

 

, 20

 

 

 

all persons employed on said project

have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of the contractor or subcontractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in the prevailing wage regulations of the State of Delaware.

2.That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work performed.

3.That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a state apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, and that the worksite ratio of apprentices to mechanics does not exceed the ratio permitted by the prevailing wage regulations of the State of Delaware.

An employer who fails to submit sworn payroll information to the Department of Labor weekly shall be subject to fines of $1,000.00 and $5,000. for each violation.

List only those fringe benefits:

For which the employer has paid; and

Which have been used to offset the full prevailing wage rate.

(See Delaware Prevailing Wage Regulations for explanation of how hourly value of benefits is the be computed.)

HOURLY COST OF BENEFITS

(List in same order shown on front of record)

Employee

1.

2.

3.

4.

5.

6.

7.

8.

I hereby certify that the foregoing information is true and correct to the best of m knowledge and belief. I realize that making a false statement under oath is a crime in State of Delaware

Signature

STATE OF

COUNTY OF

SWORN TO AND SUBSCRIBED BEFORE ME, A NOTARY PUBLIC,

THIS

 

DAY OF

 

, A.D. 20

 

.

Notary Public

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dept of labor delaware unemployment w 2 form completion process described (part 1)

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Part number 2 for filling in dept of labor delaware unemployment w 2 form

3. The next segment should also be quite simple, DATE, I Name of signatory party, Title, do hereby state, That I pay or supervise the, on the, public project, that during the payroll period, day of, and ending on the day of, all persons employed on said, have been paid the full weekly, That any payrolls otherwise under, Employee, and For which the employer has paid - all of these blanks must be filled in here.

and ending on the day of, That I pay or supervise the, and That any payrolls otherwise under in dept of labor delaware unemployment w 2 form

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4. This next section requires some additional information. Ensure you complete all the necessary fields - That any payrolls otherwise under, That any apprentices employed in, An employer who fails to submit, Signature, I hereby certify that the, Notary Public, and DAY OF - to proceed further in your process!

Stage no. 4 of submitting dept of labor delaware unemployment w 2 form

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