Homepage Fill in Your Pa Payroll Template
Table of Contents

The Pennsylvania Payroll form is a crucial document for contractors and subcontractors engaged in public works projects. This form ensures compliance with prevailing wage laws, providing essential details about employee wages, hours worked, and benefits offered. It requires the contractor or subcontractor to indicate their status, complete their address, and specify the project and location. Weekly submissions are mandatory, and the form must be filled out completely, including payroll numbers and project serial numbers. Additionally, the form includes a certification statement where the undersigned acknowledges their responsibility for adhering to prevailing wage requirements and ensuring that any subcontractors are also compliant. Key aspects of the form include reporting employee names, classifications, hourly rates, and deductions. Furthermore, contractors must detail any fringe benefits provided, such as medical care or retirement contributions. The notarization section is vital, as it is required only on the first and last submissions, emphasizing the importance of accuracy and accountability throughout the project duration. Completing this form correctly is not just a regulatory requirement; it is essential for the integrity of the project and the protection of all parties involved.

Sample - Pa Payroll Form

WEEKLY PAYROLL CERTIFICATION FOR PUBLIC WORKS PROJECTS

Contractor or

Subcontractor (Please check one) ALL INFORMATION MUST BE COMPLETED

CONTRACTOR

SUBCONTRACTOR

ADDRESS

ADDRESS

 

PAYROLL NUMBER WEEK ENDING DATE PROJECT AND LOCATION

 

 

 

BUREAU OF LABOR LAW COMPLIANCE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PREVAILING WAGE DIVISION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7TH & FORSTER STREETS

 

 

 

 

 

PROJECT SERIAL #

 

PROJECT #

 

 

 

HARRISBURG, PA 17120

 

 

 

 

 

 

 

 

1-800-932-0665

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPR.

WORK

 

 

DAY AND DATE

S-

BASE

TOTAL FRINGE

TOTAL

 

GROSS PAY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EMPLOYEE NAME

RATE

CLASSIFICATION

 

 

 

 

 

 

 

TIME

HOURLY

BENEFITS

DEDUCTIONS

 

FOR

 

CHECK #

 

 

 

 

 

 

 

 

 

 

 

(%)

 

 

 

 

 

 

 

0-

RATE

(C=Cash)

 

PREVAILING

 

 

 

 

 

 

 

HOURS WORKED EACH DAY

TIME

 

(FB=Contributions)*

 

 

RATE JOB(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FB:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FB:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FB:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FB:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FB:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LLC-25 REV 10-03 (Page 1)

*SEE REVERSE SIDE

PAGE NUMBER ___________ OF ____________

 

THE NOTARIZATION MUST BE COMPLETED ON FIRST AND LAST SUBMISSIONS ONLY. ALL OTHER INFORMATION MUST BE COMPLETED WEEKLY.

*FRINGE BENEFITS EXPLANATION (FB): Bona fide benefits contribution, except those required by Federal or State Law (unemployment tax, workers’ compensation, income taxes, etc.)

Please specify the type of benefits provided and contributions per hour:

1)Medical or hospital care __________________________________________________________________________

2)Pension or retirement ____________________________________________________________________________

3)Life insurance _________________________________________________________________________________

4)Disability _____________________________________________________________________________________

5)Vacation, holiday _______________________________________________________________________________

6)Other (please specify) ___________________________________________________________________________

CERTIFIED STATEMENT OF COMPLIANCE

1.The undersigned, having executed a contract with _____________________________________________________

(AWARDING AGENCY, CONTRACTOR OR SUBCONTRACTOR)

______________________________ for the construction of the above-identified project, acknowledges that:

(a)The prevailing wage requirements and the predetermined rates are included in the aforesaid contract.

(b)Correction of any infractions of the aforesaid conditions is the contractor’s or subcontractor’s responsibility.

(c)It is the contractor’s responsibility to include the Prevailing Wage requirements and the predetermined rates in any subcontract or lower tier subcontract for this project.

2.The undersigned certifies that:

(a)Neither he nor his firm, nor any firm, corporation or partnership in which he or his firm has an interest is debarred by the Secretary of Labor and Industry pursuant to Section 11(e) of the PA Prevailing Wage Act, Act of August 15, 1961, P.L. 987 as amended, 43 P.S.§ 165-11(e).

(b)No part of this contract has been or will be subcontracted to any subcontractor if such subcontractor or any firm, corporation or partnership in which such subcontractor has an interest is debarred pursuant to the aforementioned statute.

3.The undersigned certifies that:

(a)the legal name and the business address of the contractor or subcontractor are: _________________________

_________________________________________________________________________________________

(b) The undersigned is:

a single proprietorship

a corporation organized in the state of ______________

 

a partnership

other organization (describe) ____________________________

(c)The name, title and address of the owner, partners or officers of the contractor/subcontractor are:

NAME

TITLE

ADDRESS

The willful falsification of any of the above statements may subject the contractor to civil or criminal prosecution, provided in the PA Prevailing Wage Act of August 15, 1961, P.L. 987, as amended, August 9, 1963, 43 P.S. § 165.1 through 165.17.

(DATE)

SEAL

LLC-25 REV 10-03 (Page 2)

(SIGNATURE)

(TITLE)

Taken, sworn and subscribed before me this _________ Day

of ___________________________________ A.D., ___________

File Specs

Fact Name Description
Form Purpose The Pennsylvania Payroll Form is used to certify weekly payroll information for public works projects. It ensures compliance with prevailing wage laws.
Governing Law This form is governed by the Pennsylvania Prevailing Wage Act, Act of August 15, 1961, P.L. 987, as amended.
Submission Requirements All information on the form must be completed weekly. Notarization is only required on the first and last submissions.
Fringe Benefits Contractors must specify bona fide benefits provided, including medical care, retirement, and other contributions per hour.
Compliance Statement The form includes a certified statement confirming that the contractor is not debarred and complies with all wage requirements.

Pa Payroll - Usage Guidelines

Completing the Pennsylvania Payroll Certification for Public Works Projects requires careful attention to detail. Each section of the form must be filled out accurately to ensure compliance with state regulations. Follow the steps below to complete the form properly.

  1. Indicate whether you are a Contractor or Subcontractor by checking the appropriate box.
  2. Provide your address in the designated space.
  3. Enter your payroll number.
  4. Fill in the week ending date.
  5. Specify the project and location.
  6. Complete the project serial number and project number.
  7. List the employee names along with their respective classification and hourly rate.
  8. Record the hours worked each day for each employee.
  9. Calculate and enter the total gross pay, total fringe benefits, and deductions.
  10. Provide a breakdown of fringe benefits in the specified section, detailing each type of benefit and contributions per hour.
  11. Complete the certified statement of compliance by filling in the awarding agency and acknowledging the responsibilities outlined.
  12. Sign and date the form, ensuring that all information is accurate.
  13. If this is the first or last submission, complete the notarization section.

Your Questions, Answered

What is the purpose of the PA Payroll form?

The PA Payroll form is designed to ensure compliance with prevailing wage laws for public works projects in Pennsylvania. It collects essential information about the contractor or subcontractor, including employee wages, hours worked, and benefits provided. This form helps maintain transparency and accountability in labor practices on public projects, ensuring that workers are compensated fairly according to state regulations.

Who needs to complete the PA Payroll form?

Both contractors and subcontractors involved in public works projects in Pennsylvania are required to complete the PA Payroll form. It is crucial that all sections of the form are filled out accurately and submitted weekly. This includes reporting the wages of employees, hours worked, and any fringe benefits provided. Proper completion of the form is essential to comply with state labor laws and avoid potential penalties.

What information is required on the PA Payroll form?

The form requires several key pieces of information. This includes the name and address of the contractor or subcontractor, payroll number, project details, and the week ending date. Additionally, it requires a breakdown of each employee's name, classification, hourly rate, hours worked each day, and any deductions or benefits provided. It is important to ensure that all information is accurate and complete to avoid delays in processing or compliance issues.

What happens if the information on the PA Payroll form is falsified?

Providing false information on the PA Payroll form can lead to serious consequences. The contractor or subcontractor may face civil or criminal prosecution under the PA Prevailing Wage Act. This includes penalties for willful falsification of statements regarding wages, hours, or compliance with labor laws. It is imperative to ensure that all information is truthful and accurate to avoid legal repercussions.

Common mistakes

  1. Incomplete Information: Failing to fill out all required fields can lead to delays. Every section must be completed, including contractor or subcontractor designation, address, payroll number, and project details.

  2. Incorrect Classification: Misclassifying employees can cause compliance issues. Ensure that each employee's classification aligns with their actual job duties and the prevailing wage rates.

  3. Missing Signature: Not signing the form can render it invalid. The certified statement of compliance requires a signature from the contractor or subcontractor.

  4. Wrong Payroll Week Ending Date: Using an incorrect week ending date can lead to confusion. Double-check that the date corresponds to the payroll period being reported.

  5. Omitting Fringe Benefits: Neglecting to specify fringe benefits can result in penalties. Clearly outline all bona fide benefits provided to employees, including contributions per hour.

  6. Failure to Notarize: Notarization is required only for the first and last submissions. Ensure that you complete this step when necessary to maintain compliance.

  7. Incorrect Employee Information: Providing wrong names or addresses can lead to issues with record-keeping. Verify that all employee details are accurate and up-to-date.

  8. Ignoring Submission Deadlines: Late submissions can result in penalties. Be aware of the deadlines for submitting the payroll certification to avoid complications.

Documents used along the form

When managing payroll for public works projects in Pennsylvania, several forms and documents accompany the PA Payroll form. Each of these documents serves a specific purpose in ensuring compliance with labor laws and regulations. Below is a list of commonly used forms that complement the PA Payroll form.

  • Wage Rate Determination: This document outlines the prevailing wage rates that must be paid to workers on public works projects. It specifies rates based on job classification and is essential for compliance with wage laws.
  • Employee Information Form: This form collects necessary details about each employee, including name, address, Social Security number, and job classification. It helps ensure accurate payroll processing and record-keeping.
  • Time Sheet: Employees use this document to record their hours worked each day. It provides a detailed account of time spent on the job, which is crucial for calculating wages accurately.
  • Fringe Benefits Statement: This statement details the fringe benefits provided to employees, such as health insurance or retirement contributions. It must align with the requirements set forth in the PA Payroll form.
  • Subcontractor Compliance Certification: Subcontractors must complete this certification to confirm they adhere to prevailing wage laws. It ensures that all parties involved in the project are compliant.
  • Affidavit of Compliance: This affidavit is a sworn statement confirming that all payroll records are accurate and that the contractor has complied with wage laws. It adds a layer of accountability.
  • Notice of Project Completion: This document is submitted upon the completion of a project. It notifies relevant agencies that work has been finished and may be required for final payment processing.
  • Weekly Payroll Report: This report summarizes the payroll for the week, including total hours worked, wages paid, and any deductions. It is a key document for tracking payroll expenses.
  • Tax Withholding Forms: These forms, such as the W-4, are used to determine the amount of federal and state taxes to withhold from employee paychecks. They ensure compliance with tax regulations.

Each of these documents plays a vital role in the payroll process for public works projects. Proper completion and submission of these forms help ensure compliance with state and federal labor laws, safeguarding both the employer and employees.

Similar forms

The PA Payroll form shares similarities with the Federal Form WH-347, which is used for reporting payroll information on federally funded construction projects. Both documents require detailed reporting of employee wages, hours worked, and classifications. The WH-347 also emphasizes compliance with prevailing wage laws, much like the PA Payroll form. Each document serves to ensure that contractors adhere to wage standards, protecting workers' rights and ensuring fair compensation for labor. The structure of both forms includes sections for employee information, wage rates, and certifications of compliance, making them essential for maintaining transparency in payroll practices.

Another similar document is the California Certified Payroll Report (CPR). This form is mandated for public works projects in California and requires contractors to report the same type of information as the PA Payroll form, including employee names, wages, and hours worked. Both forms aim to uphold prevailing wage laws and ensure that workers receive appropriate compensation for their labor. The CPR also includes a certification section, where contractors affirm their compliance with applicable labor laws, similar to the certification statements found in the PA Payroll form. This alignment highlights the common goal of protecting workers across different jurisdictions.

The New York State Payroll Certification form also resembles the PA Payroll form in its purpose and structure. Both documents require contractors to report detailed payroll information for public works projects, including employee classifications and wages. They both serve to verify compliance with state prevailing wage laws, ensuring that workers are paid fairly. The New York form, like the PA Payroll form, includes a certification section where contractors must attest to the accuracy of the information provided. This shared focus on compliance and transparency underscores the importance of fair labor practices in public contracting.

Lastly, the Texas Payroll Report is another document that parallels the PA Payroll form. This report is used for public works projects in Texas and requires similar information, such as employee names, hours worked, and wage rates. Both forms emphasize the importance of adhering to prevailing wage laws, protecting workers' rights, and ensuring fair pay. The Texas Payroll Report includes a certification statement, akin to the one in the PA Payroll form, where contractors affirm their compliance with labor regulations. This consistency across states reflects a unified effort to uphold labor standards in public works projects.

Dos and Don'ts

When filling out the PA Payroll form, it is essential to be careful and thorough. Here are five important things to do and avoid:

  • Do ensure all sections of the form are completed accurately. Missing information can lead to delays.
  • Do double-check the project and location details. Correct information is crucial for compliance.
  • Do include all employee names and their corresponding classifications. This helps in verifying wage compliance.
  • Do specify the type of fringe benefits provided. Clear details prevent misunderstandings later.
  • Do sign and date the certification statement. This confirms your acknowledgment of the prevailing wage requirements.
  • Don't leave any fields blank. Incomplete forms can result in rejection or further inquiries.
  • Don't forget to include the correct payroll number and week ending date. These are essential for tracking.
  • Don't misrepresent any information. Falsification can lead to serious legal consequences.
  • Don't submit the form without reviewing it. Errors can cause delays and complications.
  • Don't ignore the notarization requirement for the first and last submissions. This step is necessary for validation.

Misconceptions

Misconceptions about the PA Payroll form can lead to confusion and compliance issues. Below are seven common misconceptions along with clarifications.

  • The form is optional for all contractors. The PA Payroll form is mandatory for contractors and subcontractors working on public works projects in Pennsylvania. Failure to submit the form can result in penalties.
  • Only the contractor needs to sign the form. Both the contractor and subcontractor must complete and sign the form if applicable. Each party is responsible for compliance with prevailing wage laws.
  • All information on the form is self-explanatory. Some sections, such as fringe benefits, require specific details. Contractors must clearly specify the types of benefits provided and their contributions per hour.
  • Submitting the form once is sufficient. The PA Payroll form must be submitted weekly for each pay period during the project. This ensures ongoing compliance with wage laws.
  • Notarization is required for every submission. Notarization is only necessary for the first and last submissions of the project. All other weekly submissions do not require notarization.
  • Only hourly employees need to be reported. All employees working on the project, regardless of pay structure, must be reported on the form. This includes salaried employees.
  • Fringe benefits are optional. Fringe benefits are required under the prevailing wage law. Contractors must provide bona fide benefits and report them accurately on the form.

Understanding these misconceptions can help ensure compliance with Pennsylvania's prevailing wage laws and avoid potential legal issues.

Key takeaways

Filling out the Pennsylvania Payroll form correctly is essential for compliance with state labor laws. Here are some key takeaways to keep in mind:

  • Complete All Sections: Ensure that every section of the form is filled out completely. Missing information can lead to delays or penalties.
  • Identify Your Role: Clearly indicate whether you are a contractor or subcontractor at the top of the form. This distinction is crucial for proper classification.
  • Accurate Payroll Number: Assign a unique payroll number for tracking purposes. This number helps in maintaining organized records.
  • Weekly Submission: Submit the form weekly. It is important to adhere to this timeline to remain compliant with labor regulations.
  • Detail Fringe Benefits: Specify the types of fringe benefits provided and their contributions per hour. This includes medical care, retirement, and more.
  • Notarization Requirement: Remember that notarization is only required for the first and last submissions of the project. Ensure this is completed to avoid issues.
  • Certified Statement of Compliance: Acknowledge the prevailing wage requirements and your responsibilities regarding subcontracting. This section is crucial for legal compliance.
  • Legal Consequences: Be aware that willful falsification of information can lead to serious civil or criminal penalties. Accuracy is paramount.

Understanding these key points will help streamline the process of completing and using the Pennsylvania Payroll form effectively.