Department Of Labor Payroll Form PDF Details

The Department of Labor (DOL) has recently updated their payroll form, which employees and employers will need to use for all wage and hour related transactions. The new form, WH-4, is now available on the DOL website, and replaces the former WH-3 form. The revised form includes several changes, including a new section for recording tips and gratuities. All employers must begin using the WH-4 form by January 1st, 2017. Review the updated form carefully to ensure that your business is compliant with all DOL regulations.

QuestionAnswer
Form NameDepartment Of Labor Payroll Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namespayroll software no download needed microsoft, payroll wage and hour division, dol payroll, payroll whd fillable

Form Preview Example

U.S. Department of Labor

 

 

PAYROLL

 

 

 

Employment Standards Administration

(For Contractor's Optional Use; See Instructions at www.dol.gov/esa/whd/forms/wh347instr.htm)

Wage and Hour Division

 

 

 

Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number.

 

Rev. Dec. 2008

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF CONTRACTOR

OR SUBCONTRACTOR

 

 

 

ADDRESS

 

OMB No.: 1215-0149

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Expires: 12/31/2011

 

 

 

 

 

 

 

 

 

PAYROLL NO.

 

 

FOR WEEK ENDING

 

PROJECT AND LOCATION

PROJECT OR CONTRACT NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

NAME AND INDIVIDUAL IDENTIFYING NUMBER (e.g., LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER) OF WORKER

(2)

NO. OFWITHHOLDiNGEXEMPTIONS

(3)

WORK

CLASSIFICATION

 

 

(4) DAY AND DATE

(5)

(6)

(7)

 

 

 

 

(9)

 

 

 

 

 

 

 

 

 

 

 

 

 

(8)

 

ST.

 

 

 

 

 

 

 

 

 

 

 

DEDUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OR

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NET

OT.

 

 

 

 

 

 

 

 

GROSS

 

WITH-

 

 

WAGES

 

 

 

 

 

 

TOTAL

RATE

AMOUNT

 

HOLDING

 

TOTAL

PAID

 

HOURS WORKED EACH DAY

HOURS

OF PAY

EARNED

FICA

TAX

 

OTHER DEDUCTIONS

FOR WEEK

O

S

O

S

O

S

O

S

O

S

O

S

O

S

O

S

While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a). The Copeland Act

(40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceding week." U.S. Department of Labor (DOL) regulations at

29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.

Public Burden Statement

We estimate that is 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, ESA, U.S. Department of Labor, Room S3502, 200 Constitution Avenue, N.W. Washington, D.C. 20210

(over)

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