Oregon Payroll Wh 38 Form PDF Details

In the realm of construction and public works, the adherence to wage laws and regulations is paramount for ensuring fair compensation for workers. The Oregon Payroll WH-38 form serves as a critical tool in this process, designed by the Bureau of Labor and Industries' Wage and Hour Division. This form facilitates compliance with ORS 279C.845, a provision that requires the transparent reporting of wages and benefits for all individuals employed on a project, whether by a prime contractor or subcontractor. It includes detailed sections for both parties to report essential information such as business names, project details, worker classifications, hours worked, gross wages, and itemized deductions. Furthermore, it emphasizes the importance of accurate and honest reporting, underlining the legal ramification of willful falsification. The form also addresses the requirements of the federal Davis-Bacon Act, ensuring that workers receive no less than prevailing wages and fringe benefits for their labor. Through complete and accurate submissions of the WH-38 form, contractors not only comply with state and federal regulations but also contribute to a fair and equitable working environment in the construction industry.

QuestionAnswer
Form NameOregon Payroll Wh 38 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesoregon boli forms, oregon payroll wh get, oregon payroll wh make, form wh 38 payroll certified

Form Preview Example

BUREAU OF LABOR AND INDUSTRIES

 

 

 

PAYROLL/CERTIFIED STATEMENT FORM WH-38

WAGE AND HOUR DIVISION

 

 

 

FOR USE IN COMPLYING WITH ORS 279C.845*

PRIME CONTRACTOR

SUBCONTRACTOR

PAYROLL NO.________________________

Business Name (DBA):

 

Phone: (

)

CCB Registration Number:

Project Name:

 

Project Number:

 

Type of Work:

Street Address:

 

 

Project Location:

 

Mailing Address:

Project County:

Date Pay Period Began:

 

 

Date Pay Period Ended:

 

 

 

 

 

 

 

 

THIS SECTION FOR PRIME CONTRACTORS ONLY

 

 

 

THIS SECTION FOR SUBCONTRACTORS ONLY

 

Public Contracting Agency Name:

 

 

 

 

 

 

 

Subcontract Amount:

 

 

 

 

 

 

 

 

 

 

 

Prime Contractor Business Name (DBA):

 

 

 

Phone: (

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prime Contractor Phone: (

)

 

 

 

Date Contract Specifications First Advertised for Bid:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Prime Contractor’s CCB Registration Number:

 

 

 

Contract Amount:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date You Began Work on the Project:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(1)

 

(2)

 

 

(3) DAY AND DATE

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

 

 

 

 

 

 

 

 

 

 

 

 

 

HOURLY

 

 

 

HOURLY FRINGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRINGE

 

 

 

 

NAME , ADDRESS AND

CLASSIFICATION

 

 

 

 

 

 

 

 

 

GROSS

ITEMIZED

 

BENEFITS PAID

NAME OF BENEFIT

 

 

 

 

 

 

 

 

HOURLY

BENEFIT

 

EMPLOYEE’S

 

(INCLUDE GROUP #

 

 

 

 

 

 

 

 

TOTAL

AMOUNT

DEDUCTIONS

NET WAGES

TO BENEFIT

PARTY, PLAN,

 

 

 

 

 

 

 

 

 

BASE

AMOUNTS

IDENTIFICATION

AND APPRENTICESHIP

 

 

 

 

 

 

 

HOURS

EARNED (see

FICA, FED,

PAID

PARTY, PLAN,

FUND, OR

 

 

 

 

 

 

 

RATE

PAID AS

NUMBER

 

STEP IF APPLICABLE)

 

 

 

 

 

 

 

 

directions)

STATE, ETC.

 

FUND, OR

PROGRAM

 

 

 

 

 

 

 

 

 

 

WAGES TO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROGRAM

 

 

 

 

 

 

HOURS WORKED EACH DAY

 

 

EMPLOYEE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OT

ST

OT

ST

OT

ST

OT

ST

OT

ST

*Although this form has not been officially approved by the U.S. Department of Labor, it is designed to meet the requirements of both the state PWR law and the federal Davis-Bacon Act.

WH-38 (Rev. 11-09)

THIS FORM CONTINUED ON REVERSE

CERTIFIED STATEMENT

Date:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I,

 

 

 

 

,

 

 

 

 

 

 

 

 

(NAME OF SIGNATORY PARTY)

 

 

(TITLE)

 

 

do hereby state:

 

 

 

 

 

 

 

 

 

 

 

 

 

(1) That I pay or supervise the payment of the persons employed by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CONTRACTOR, SUBCONTRACTOR OR SURETY)

 

 

on the

 

 

 

 

 

 

 

 

 

; that during the payroll period

 

 

 

 

(BUILDING OR WORK)

 

 

 

 

 

 

commencing on the

 

day of

 

,

 

 

, and ending the

 

day

 

 

 

 

 

 

 

 

 

 

(MONTH)

 

(YEAR)

 

 

of

 

,

 

 

, all persons employed on said project have been paid the

 

 

(MONTH)

 

(YEAR)

 

 

 

 

 

 

full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said

(CONTRACTOR, SUBCONTRACTOR OR SURETY)

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 specified in ORS 652.610, and as defined in Regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948, 63 Stat. 108, 72 Stat. 967; 76 Stat. 357; 40 U.S.C. 276c), and described below:

(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 workers contained therein are not less than the applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each worker conform with 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, or if no such recognized agency exists in a state, are registered with the Bureau of Apprenticeship and Training, United States Department of Labor.

I HAVE READ THIS CERTIFIED STATEMENT, KNOW THE CONTENTS THEREOF AND IT IS TRUE TO MY KNOWLEDGE:

(NAME AND TITLE)

(SIGNATURE AND DATE)

In addition to completing sections (1) - (3), if your project is subject to the federal Davis-Bacon Act requirements, complete the following section as well:

(4) That:

(a)WHERE FRINGE BENEFITS ARE PAID TO APPROVED PLANS, FUNDS OR PROGRAMS

-In addition to the basic hourly wage rates paid to each laborer or mechanic listed in the above referenced payroll, payments of fringe benefits as listed in the contract have been or will be made to appropriate programs for the benefit of such employees, except as noted in Section 4(c) below.

(b)WHERE FRINGE BENEFITS ARE PAID IN CASH

-Each laborer or mechanic listed in the above referenced payroll has been paid, as indicated on the payroll, an amount not less than the sum of the applicable basic hourly wage rate plus the amount of the required fringe benefits as listed in the contract, except as noted in Section 4(c) below.

(c) EXCEPTIONS:

EXCEPTION (CRAFT)

EXPLANATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

REMARKS:

NAME AND TITLE

SIGNATURE

THE WILLFUL FALSIFICATION OF ANY OF THE ABOVE STATEMENTS MAY SUBJECT THE CONTRACTOR OR SUBCONTRACTOR TO CIVIL OR CRIMINAL PROSECUTION. SEE SECTION 1001 OF TITLE 18 AND SECTION 231 OF TITLE 31 OF THE UNITED STATES CODE.

FILE THIS FORM WITH THE PUBLIC AGENCY ASSOCIATED WITH THE PROJECT

NOTE TO CONTRACTORS: YOU MUST ATTACH COPIES OF THIS FORM TO EACH OF YOUR PAYROLL SUBMISSIONS ON THIS PROJECT.

INSTRUCTIONS AND ADDITIONAL FORMS ARE AVAILABLE ON OUR WEBSITE: WWW.OREGON.GOV/BOLI.

WH-38 (Rev. 11-09)

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