Form Pw 30 – Fill Out and Use This PDF

The Pw 30 form, also known as the Application for Dispensation of Hours, is a document issued by the New York State Department of Labor, Bureau of Public Work. This form allows contractors to request permission for their workforce to exceed the standard working hours on public work projects, stating the operational requirements and the period for which the dispensation is sought. Ensuring all sections are completed accurately and obtaining the necessary certification from the Department of Jurisdiction are crucial steps for a successful application.

If you are a contractor looking to extend working hours for your project, click the button below to start filling out your Pw 30 form.

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Form Pw 30 PDF Details

In the intricate landscape of labor regulations, forms like the Pw 30 emerge as pivotal documents, encapsulating essential protocols and procedures tailored for specific scenarios within the public works sector. Initiated by the State of New York Department of Labor's Bureau of Public Work, this form serves as an Application for Dispensation for Hours, a crucial instrument for entities seeking permission to extend beyond the standard work hours legislated for laborers and mechanics employed on public projects. The incorporation of detailed applicant information, including but not limited to, project descriptions, reasons for requesting hour dispensation, and a list of job classifications, underscores the comprehensive nature of the form. Furthermore, the requisite endorsements from respective Department of Jurisdiction representatives affirm the form's role in aligning labor practices with statutory directives. Essential for ensuring that projects of significant public import proceed without undue delay, yet in compliance with labor standards, the Pw 30 form exemplifies the delicate balance between regulatory mandates and operational exigencies. Through this lens, the document not only facilitates a smoother project implementation process but also serves as a testament to the rigorous frameworks governing public works projects, underscoring the state's commitment to labor rights and project efficiency.

Question	Answer
Form Name	Form Pw 30
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	form pw30 1, nys dol form pw30 vs pw30 1, CERTIFICATION, laborer

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STATE OF NEW YORK

DEPARTMENT OF LABOR

BUREAU OF PUBLIC WORK

THE GOV. W. AVERELL HARRIMAN

STATE OFFICE BUILDING CAMPUS

ALBANY, N.Y. 12240

FOR OFFICIAL USE ONLY

Control No:

APPLICATION FOR DISPENSATION FOR HOURS

Applicant must COMPLETE BOTH PAGES. Phone: (518) 457-5589 Fax: (518) 485-1870

A representative of the Department of Jurisdiction (contracting agency) must COMPLETE CERTIFICATION AT BOTTOM.

APPLICANT:

NAME AND ADDRESS

FEDERAL EMPLOYER IDENTIFICATION NUMBER

TELEPHONE NO:

Prevailing Rate Case / PRC #

COUNTY:

(found on wage schedule)

Project Description:

DESCRIPTION OF LOCATION: (City, town, intersection, street or route, etc.)

NATURE OF PROJECT: (Check one)

1. NEW BUILDING

2. ADDITION TO EXISTING STRUCTURE

3.HEAVY AND HIGHWAY CONSTRUCTION (NEW AND REPAIR)

4.NEW SEWER OR WATERLINE

5.OTHER NEW CONSTRUCTION

6.OTHER RECONSTRUCTION, MAINTENANCE REPAIR OR ALTERATION

7.DEMOLITION

REASON FOR REQUESTING DISPENSATION:

DISPENSATION REQUIRED: (Complete statement below)

THIS MUST BE SIGNED

Application is made for a period beginning

and ending

to permit

(DATE)

operations

hours per day,

days per week.

(Date)

(Signature of Contractor or Authorized Representative)

(PRINT NAME AND TITLE)

This Section to be Certified by an Officer of the Department of Jurisdiction

THIS MUST BE SIGNED

IT IS HEREBY CERTIFIED THAT THE ABOVE DESCRIBED PUBLIC WORK PROJECT IS OF AN IMPORTANT NATURE AND THAT A DELAY IN CARRYING IT TO COMPLETION WOULD RESULT IN SERIOUS DISADVANTAGE TO THE PUBLIC.

(DEPARTMENT OF JURISDICTION)			(AUTHORIZED SIGNATURE)

(STREET ADDRESS)
(STREET ADDRESS)			( PRINT NAME AND TITLE)	DATE
			( PRINT NAME AND TITLE)	DATE
		TELEPHONE NO.: (
(TOWN, CITY, STATE)	(ZIP CODE)	TELEPHONE NO.: (	)

PW -30 (03-07)

COMPLETE AND RETURN

LIST THE JOB CLASSIFICATIONS FOR WHICH THIS DISPENSATION IS REQUESTED AND THE NUMBER OF EMPLOYEES IN EACH CLASSIFICATION.

JOB CLASSIFICATION (occupations)

Number to be

Employed

When this application is complete, have an officer of the department of jurisdiction complete the certification section and return it to this office. No worker, laborer, or mechanic may be employed in excess of 8 hours in any one day nor 5 days in any one calendar week until you receive a notice of determination.

How to Edit Form Pw 30 Online for Free

Working with PDF files online is easy with this PDF tool. Anyone can fill in Prevailing here effortlessly. The editor is constantly maintained by our team, receiving powerful features and turning out to be even more convenient. By taking several basic steps, it is possible to begin your PDF editing:

Step 1: Open the PDF file inside our editor by clicking the "Get Form Button" in the top section of this page.

Step 2: With the help of our handy PDF tool, it's possible to accomplish more than simply complete blank form fields. Try each of the functions and make your documents appear great with customized text added in, or fine-tune the original content to perfection - all supported by the capability to add stunning images and sign the PDF off.

Be mindful when filling in this document. Ensure all mandatory blanks are done properly.

1. The Prevailing requires certain information to be typed in. Be sure the next fields are finalized:

PRC conclusion process detailed (part 1)

2. Once your current task is complete, take the next step – fill out all of these fields - NATURE OF PROJECT Check one, NEW BUILDING, ADDITION TO EXISTING STRUCTURE, NEW SEWER OR WATERLINE, OTHER RECONSTRUCTION MAINTENANCE, HEAVY AND HIGHWAY CONSTRUCTION, OTHER NEW CONSTRUCTION, DEMOLITION, REPAIR OR ALTERATION, REASON FOR REQUESTING DISPENSATION, DISPENSATION REQUIRED Complete, THIS MUST BE SIGNED, Application is made for a period, and ending, and to permit with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

As to DISPENSATION REQUIRED Complete and DEMOLITION, be sure that you don't make any mistakes in this current part. Those two are definitely the most important ones in the file.

3. This next part is related to IT IS HEREBY CERTIFIED THAT THE, DEPARTMENT OF JURISDICTION, AUTHORIZED SIGNATURE, STREET ADDRESS, PRINT NAME AND TITLE, DATE, TOWN CITY STATE, ZIP CODE, and TELEPHONE NO - fill out each of these empty form fields.

PRC completion process described (part 3)

4. Completing is essential in the fourth stage - you'll want to take your time and be mindful with every single blank area!

5. As you reach the completion of your file, there are several extra points to complete. Specifically, When this application is complete should be done.

PRC writing process described (portion 5)

Step 3: Soon after rereading your entries, press "Done" and you're done and dusted! Download the Prevailing once you sign up for a free trial. Conveniently use the pdf document within your personal account, with any edits and adjustments being automatically preserved! With FormsPal, you can easily fill out documents without having to worry about data leaks or records getting distributed. Our secure platform ensures that your private details are stored safely.

Form Pw 30 – Fill Out and Use This PDF

Form Pw 30 PDF Details

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