Form A 1 131 Fillable – Fill Out and Use This PDF

Updated: Nov 8, 2026

This copy is not the agency's form. The issuer's site (dir.ca.gov) says: "Contractors and subcontractors on most public works projects are required to submit certified payroll records (CPRs) to the Labor Commissioner using DIR's Public Works Website Services". The file on this page is a vendor's copy resized to letter paper, by its own footer. The copy on this page is kept for reference. File it through the issuer's online service. Checked October 11, 2026.

The A 1 131 form serves as a crucial document for recording specific types of transactions or events, depending on its context of use. Its structured format ensures that all necessary details are captured accurately and systematically. For those looking to complete this form, clicking the button below will guide you through the simple and straightforward process.

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How to Fill Out Form A-1-131

Form A-1-131 at a glance

What it is: The California Public Works Payroll Reporting Form is a Department of Industrial Relations form.

Who signs: The undersigned, with the authority to act for and on behalf of the Name of business and/or contractor, signs in the Signature box and enters the Date.

A filled-in Form A-1-131 example: a contractor reports one week of pay

Form A-1-131 example filled out, example: a contractor reports one week of pay — Sample Builders Inc. fills out Form A-1-131 for one week. One carpenter works eight straight time hours Monday to Friday at 30.00 an hour, with no overtime. The picture shows one employee row, and every value in it is made up. Nothing goes in Certification because the example shows only the payroll rows.

How to fill out Form A-1-131, box by box

Contractor and project

Enter the Name of Contractor or Subcontractor, the Contractor's License No., the Specialty License No. and the Address.

Enter the Payroll No., the For Week Ending, the Self-Insured Certificate No., the Project or Contract No., the Workers' Compensation Policy No. and the Project and Location.

Employee and hours worked each day

For each employee, enter the Name, Address and Social Security Number of the employee, the Number of Withholding Exemptions and the Work Classification.

Under Hours Worked Each Day, enter hours in S or in O, where O is Overtime.

Enter the Total Hours and the Hourly Rate of Pay.

Deductions, contributions and payments

Enter the Gross Amount Earned.

Under Deductions, Contributions and Payments, enter Fed. Tax, FICA (Soc. Sec.), State Tax, SDI (State Disability Insurance), Vac/ Holiday and Health & Welf.

Enter Pension, Training, Fund Admin, Dues, Trav/ Subs., Savings, Other and Total Deductions.

S = Straight Time. Other: any other deductions, contributions and/or payments whether or not included or required by prevailing wage determinations must be separately listed. Use extra sheet(s) if necessary. Certification must be completed.

Enter the Net Wgs Paid for Week and the Check No.

Certification

Print your Name and your Position in business, with the authority to act for and on behalf of the Name of business and/or contractor, and certify under penalty of perjury that the records or copies thereof submitted and consisting of the Description, number of pages, are the originals or true, full, and correct copies of the originals which depict the payroll record(s) of the actual disbursements by way of cash, check, or whatever form to the individual or individuals named.

A public entity may require a stricter and/or more extensive form of certification.

More rules for Form A-1-131

Fold back along dotted line prior to copying for release to general public (private persons).

Sources

[1] Form A-1-131, California Public Works Payroll Reporting Form, Department of Industrial Relations (the Official source link on this page).

Form A 1 131 Fillable PDF Details

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Question	Answer
Form Name	Form A 1 131 Fillable
Form Length	2 pages
Fillable?	Yes
Fillable fields	181
Avg. time to fill out	30 sec
Other names	california public works payroll reporting form, form a 1 131 dir form, form a 1 131 fillable, form a 1 131 pdf