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The U.S. Department of Labor (DoL) plays a vital role in protecting the rights of workers and ensuring fair labor practices across the nation. One essential tool in this mission is the DoL form, which serves various purposes, including reporting workplace injuries, filing wage complaints, and applying for unemployment benefits. Understanding the DoL form is crucial for employees and employers alike, as it outlines the necessary steps to address workplace issues effectively. Whether you need to document a safety violation, seek assistance for unpaid wages, or navigate the complexities of labor laws, this form provides a structured way to communicate your concerns to the appropriate authorities. Familiarity with the form's requirements can empower workers to advocate for their rights while helping employers maintain compliance with federal regulations. This article will delve into the key aspects of the DoL form, guiding you through its importance and the process of completing it accurately.

Sample - U.S. DoL Form

U.S. Department of Labor Davis-Bacon and Related Acts Weekly Certified Payroll Form

Wage and Hour Division

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

 

Unless otherwise noted, the information requested is specific to the named project below.

 

 

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

SUBMISSION OF FINAL DBRA CERTIFIED PAYROLL FORM

PRIME CONTRACTOR

SUBCONTRACTOR

Rev. January 2025

OMB No.: 1235-0008

Expires: 01/31/2028

PROJECT NAME

PROJECT NO. or CONTRACT NO.

CERTIFIED PAYROLL NO.

PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS NAME

PROJECT LOCATION

WAGE DETERMINATION NO.

WEEK ENDING DATE

PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS ADDRESS

(1A)

(1B)

(1C)

(1D)

(1E)

 

(2)

 

(3)

 

 

(4)

(5)

(6A)

(6B)

(6C)

(7A)

(7B)

 

 

(8)

 

 

NO.ENTRYWORKER

NAMELASTWORKER

FIRSTWORKER NAME

MIDDLEWORKER INITIAL

WORKER NO.IDENTIFYING

JOURNEYWORKER(J)

REGISTERD(RA)

APPRENTICE

LABOR CLASSIFICATION

TIMESTRAIGHT=ST

OVERTIME=OT

(TOP) DAYS OF WORK WEEK

HOURSTOTAL WEEKFORWORKED

RATEWAGEHOURLY ANDSTFORPAIDOT

FRINGETOTAL CREDITBENEFIT

LIEUINPAYMENTOF BENEFITSFRINGE

EARNEDAMTGROSS

EARNEDAMTGROSS WORKALLFOR

DEDUCTIONS FOR ALL WORK

(BOTTOM) DATES

-WITHTAX HOLDINGS

FICA

(MUSTOTHER

SEESPECIFY, INSTRUCTIONS)

TOTAL DEDUCTIONS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOURS WORKED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EACH DAY

 

 

 

 

 

 

 

 

 

 

 

(9)

FOR ALL WORK

NET PAY TO WORKER

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

ST

OT

While use of Form WH-347 itself is optional, covered contractors and subcontractors performing work on Federal or federally assisted construction contracts are required by the DBRA regulations and the contract clauses to submit payroll information on a weekly basis. The Copeland Act (40 U.S.C. § 3145) requires contractors and subcontractors performing work on Federal or federally financed construction contracts to, on a weekly basis, “furnish a statement on the wages paid each employee during the prior week.” U.S. Department of Labor (DOL) Regulations at 29 C.F.R. § 5.5(a)(3)(ii) require contractors and subcontractors to submit weekly certified payrolls to the appropriate Federal agency if the agency is a party to the contract (or, if the agency is not such a party, to the applicant, sponsor, owner, or other entity, as the case may be, that maintains such records, for transmission to the Federal agency). Each certified payroll must be accompanied by a signed “Statement of Compliance” (e.g., page 2 of the WH-347 or another document with identical wording) indicating that the certified payrolls are accurate and complete, and that each laborer or mechanic has been paid not less than the required Davis-Bacon prevailing wage rate(s) (including any fringe benefits) for the work performed. DOL and contracting agencies receiving this information review the information to determine whether workers have received legally required wages and fringe benefits.

Public Burden Statement

We estimate that it 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, U.S. Department of Labor, Room S3502,

200 Constitution Avenue, N.W. Washington, D.C. 20210

(over)

PROJECT NAME

PROJECT NO. or CONTRACT NO.

PAYROLL NO.

PRIME CONTRACTOR’S/SUBCONTRACTOR’S BUSINESS NAME

PROJECT LOCATION

 

WEEK ENDING DATE

CERTIFYING OFFICIAL’s NAME AND TITLE

I paid or supervised the payment of the laborers or mechanics working on the above project during the stated time period. I certify the following:

The payroll information submitted with this statement is correct and complete for the above project during the above period, and the wage and fringe benefit rates paid to the workers,

including credit taken for the reasonably anticipated costs of a bona fide fringe benefit plan, fund or program, are not less than the applicable wage and fringe benefits rates for the classification(s) of work actually performed, as specified in the wage determination(s) incorporated into the contract.

All regular payrolls and all other basic records that the contractor is required to maintain for this payroll period are complete and accurate and will be made available upon request from the

agency or the Department of Labor.

The classifications reported for each laborer or mechanic are the classification(s) of work that each worker actually performed.

Any workers paid as apprentices during the above period are duly registered in a bona fide apprenticeship program registered with the Office of Apprenticeship, Employment and Training

Administration, United States Department of Labor (“OA”), or a State Apprenticeship Agency (“SAA”) recognized by Department of Labor. I have verified the registered apprenticeship program information provided below as accurate and applicable to any apprentices identified on page 1 of this form.

APPRENTICESHIP PROGRAM NAME

 

REGISTERED

NAME OF LABOR CLASSIFICATION

 

 

 

OA

 

SAA

 

 

 

 

 

OA

 

SAA

 

 

 

 

 

OA

 

SAA

 

 

 

Fringe benefits have been paid in cash and/or to bona fide fringe benefit plans, funds, or programs. Where the contractor is claiming an hourly credit for their contributions to or reasonably

anticipated costs of a bona fide fringe benefit plan, fund, or program, provide plan information and the hourly credit claimed for each worker listed on the previous page of this form.

HOURLY CREDIT FOR FRINGE BENEFITS

If an amount is listed in (6B) on the first page of this certified payroll form, enter the hourly credit claimed under each plan name, type and number for each worker and check whether the plan is funded or unfunded.

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

FB NAME

 

 

 

 

TOTAL

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

FB TYPE

 

 

 

 

NAME OF WORKER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOURLY

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

PLAN NO.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CREDIT

 

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

Funded

Unfunded

 

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

$

 

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hourly Credit

$

Hrly Credit

$

$

All workers on the project have been paid the full weekly wages earned, and no rebates or deductions have been or will be made either directly or indirectly, other than permissible

 

deductions as defined in 29 CFR part 3.

 

 

 

 

 

 

 

 

 

 

 

ADDITIONAL REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF CERTIFYING OFFICIAL

 

 

DATE

 

 

TELEPHONE NUMBER

 

 

EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

( __ __ __ ) __ __ __ – __ __ __ __

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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 3729 OF TITLE 31 OF THE UNITED STATES CODE), AS WELL AS DEBARMENT FROM FUTURE FEDERAL AND FEDERALLY-ASSISTED CONTRACTS. INFORMATION REPORTED IN CERTIFIED PAYROLLS MAY BE SUBJECT TO DISCLOSURE IN RESPONSE TO A FREEDOM OF INFORMATION ACT REQUEST.

File Specs

Fact Name Description
Purpose The U.S. Department of Labor (DoL) form is used to collect information related to labor laws and regulations.
Types of Forms There are various forms under the DoL, including those for wage and hour laws, workplace safety, and employee benefits.
State-Specific Forms Many states have their own specific forms that comply with state labor laws, such as California Labor Code or New York Labor Law.
Filing Requirements Employers must ensure that they fill out and submit the correct forms to remain compliant with federal and state regulations.
Accessibility DoL forms are available online, making them accessible for employers and employees to obtain and submit.
Compliance Importance Filing the correct forms helps protect employee rights and ensures that employers adhere to labor laws.

U.S. DoL - Usage Guidelines

Filling out the U.S. Department of Labor form is an important step in addressing your needs. Following these instructions will help ensure that you complete the form accurately and efficiently. After filling out the form, you will need to submit it according to the guidelines provided.

  1. Begin by reading the instructions carefully. Make sure you understand what information is required.
  2. Gather all necessary documents and information before you start filling out the form. This may include identification, employment records, or any other relevant details.
  3. Start with your personal information. Fill in your name, address, and contact details as requested.
  4. Provide information about your employment history. Include details such as your job title, employer's name, and dates of employment.
  5. Complete any sections that ask for specific details related to your situation. Be as clear and concise as possible.
  6. Review your entries for accuracy. Check for any spelling errors or missing information.
  7. Sign and date the form where indicated. This is important to validate your submission.
  8. Make a copy of the completed form for your records before submitting it.
  9. Submit the form according to the instructions provided, whether online, by mail, or in person.

Your Questions, Answered

What is the U.S. Department of Labor (DoL) form?

The U.S. Department of Labor (DoL) form refers to various forms used for different purposes related to labor laws and regulations. These forms can include applications for unemployment benefits, wage claims, workplace safety reports, and more. Each form serves a specific function and is essential for ensuring compliance with labor laws and protecting workers' rights.

Who needs to fill out a DoL form?

Individuals seeking benefits, employers reporting workplace injuries, or organizations applying for grants may need to fill out a DoL form. Workers who believe their rights have been violated under labor laws, such as the Fair Labor Standards Act or the Occupational Safety and Health Act, may also be required to submit specific forms to initiate investigations or claims.

How can I access a DoL form?

Accessing a DoL form is straightforward. You can visit the official U.S. Department of Labor website, where a variety of forms are available for download. Additionally, local DoL offices may provide physical copies of the forms. If you are unsure which form you need, the website offers guidance to help you identify the correct one based on your situation.

What information is typically required on a DoL form?

While the required information varies by form, most DoL forms will ask for basic personal details such as your name, address, and Social Security number. You may also need to provide specifics about your employment, the nature of your claim, or any relevant incidents. Always read the instructions carefully to ensure you provide all necessary information.

Can I submit a DoL form online?

Many DoL forms can be submitted online, depending on the type of claim or application. The U.S. Department of Labor has developed online systems to facilitate submissions for various services, such as unemployment benefits. However, some forms may still require physical submission by mail or in person, so it’s important to check the specific submission guidelines for the form you are using.

What happens after I submit a DoL form?

After submitting a DoL form, you will typically receive confirmation of your submission. The processing time can vary widely based on the type of form and the volume of claims being handled. You may be contacted for additional information or clarification. It’s advisable to keep a copy of your submission and any correspondence for your records.

Are there deadlines for submitting DoL forms?

Yes, many DoL forms have specific deadlines. For instance, unemployment benefit claims often must be submitted within a certain timeframe following job loss. Similarly, wage claims may have strict time limits based on when the alleged violation occurred. It’s crucial to be aware of these deadlines to ensure that your claim is considered.

What if I make a mistake on my DoL form?

If you discover an error after submitting a DoL form, it’s important to address it promptly. Depending on the form, you may be able to submit a corrected version or provide additional information to clarify the mistake. Contacting the appropriate department or office for guidance can help you resolve the issue without jeopardizing your claim.

Where can I find assistance if I have questions about a DoL form?

If you have questions about completing a DoL form, various resources are available. The U.S. Department of Labor website offers detailed instructions and FAQs. Additionally, local labor offices can provide assistance. Nonprofit organizations and legal aid services may also offer guidance, particularly for individuals facing complex situations or disputes.

Common mistakes

  1. Incomplete Information: One common mistake is leaving sections of the form blank. Each part of the form is important and helps to provide a complete picture of the situation. Failing to fill out all required fields can lead to delays or even rejection of the application.

  2. Incorrect Details: Providing inaccurate information can be problematic. This includes misspellings, wrong dates, or incorrect numbers. Such errors can cause confusion and may require the form to be resubmitted.

  3. Not Following Instructions: Each form comes with specific instructions. Ignoring these can lead to mistakes. For example, some forms require signatures in certain places or specific documentation to be attached.

  4. Missing Deadlines: Submitting the form late can result in complications. It's crucial to be aware of any deadlines associated with the form to ensure timely processing. Marking these dates on a calendar can be helpful.

Documents used along the form

When dealing with labor-related matters in the United States, various forms and documents may be required in conjunction with the U.S. Department of Labor (DoL) form. Each of these documents serves a specific purpose and can help ensure compliance with labor laws and regulations.

  • Employer Identification Number (EIN): This is a unique number assigned by the IRS to businesses for tax purposes. It is necessary for reporting taxes and other financial information.
  • W-2 Form: Employers use this form to report annual wages and taxes withheld for employees. It is essential for employees when filing their income tax returns.
  • W-4 Form: This form allows employees to indicate their tax withholding preferences. It helps employers determine the amount of federal income tax to withhold from paychecks.
  • Employee Handbook: This document outlines company policies, procedures, and employee rights. It serves as a reference for both employers and employees regarding workplace expectations.
  • Job Description: A detailed description of a position's responsibilities, qualifications, and expectations. This document is crucial for recruitment and performance evaluations.
  • Pay Stubs: These are provided to employees with each paycheck and detail earnings, deductions, and net pay. They serve as a record of compensation and tax withholding.
  • Employment Contract: This legally binding document outlines the terms of employment, including job duties, salary, and benefits. It protects the rights of both the employer and employee.
  • Time Sheets: Used to track hours worked by employees, these documents are essential for calculating pay and ensuring compliance with wage laws.

Understanding these forms and documents is important for both employers and employees. Proper documentation can help prevent disputes and ensure compliance with labor laws, contributing to a fair and productive workplace environment.

Similar forms

The U.S. Department of Labor (DoL) form is similar to the IRS Form 1040, which is the standard individual income tax return. Both forms require detailed information about an individual's financial situation. The IRS Form 1040 collects data on income, deductions, and credits, while the DoL form may gather information related to wages, hours worked, and employment status. Each form aims to ensure compliance with federal regulations and provides a means for individuals to report their financial activities accurately.

Another document that shares similarities with the U.S. DoL form is the W-2 form, which employers use to report wages paid to employees. Like the DoL form, the W-2 captures essential information about an employee's earnings and tax withholdings. Both documents are crucial for ensuring that employees receive proper compensation and that taxes are accurately reported to the government.

The Employment Eligibility Verification Form (I-9) is also comparable to the U.S. DoL form. The I-9 is used to verify an employee's identity and eligibility to work in the United States. Both forms require personal information and documentation to confirm compliance with federal laws. They help protect workers’ rights and ensure that employers follow legal hiring practices.

The Fair Labor Standards Act (FLSA) compliance form is another document that aligns with the U.S. DoL form. This form is used by employers to demonstrate adherence to minimum wage and overtime regulations. Similar to the DoL form, it collects information about employee hours and pay rates to ensure that workers are compensated fairly according to federal standards.

The Family and Medical Leave Act (FMLA) certification form shares similarities with the U.S. DoL form as well. This form is used to request leave for medical reasons or family emergencies. Both forms require specific information about the employee's situation and help protect workers’ rights to take necessary time off without fear of losing their job.

The Occupational Safety and Health Administration (OSHA) form is another document that has a parallel with the U.S. DoL form. OSHA forms are used to report workplace injuries and illnesses. Both forms focus on employee welfare and safety, requiring detailed information about incidents that affect workers’ health and safety on the job.

Lastly, the unemployment benefits application is similar to the U.S. DoL form. This application collects information about a person's employment history and reasons for unemployment. Both documents serve to protect workers' rights and provide necessary support during times of job loss. They ensure that individuals receive the benefits they are entitled to while navigating their employment situations.

Dos and Don'ts

When filling out the U.S. Department of Labor (DoL) form, it's crucial to approach the task with care. Here are some essential dos and don'ts to keep in mind:

  • Do read the instructions thoroughly before you start. Understanding the requirements can save you time and prevent mistakes.
  • Do provide accurate and complete information. Incomplete or incorrect details can delay processing or lead to rejection.
  • Do double-check your entries. A quick review can help catch any errors before submission.
  • Do keep a copy of the completed form for your records. This can be useful for future reference or if any issues arise.
  • Don't rush through the form. Taking your time can help ensure that all information is correct and properly formatted.
  • Don't ignore deadlines. Submitting the form late can have serious consequences, including denial of benefits or services.

By following these guidelines, you can enhance the likelihood of a smooth submission process. Make sure to stay organized and proactive throughout this important task.

Misconceptions

Misconceptions about the U.S. Department of Labor (DoL) forms can lead to confusion and errors in submissions. Below are seven common misconceptions along with clarifications.

  1. All DoL forms are the same. Many individuals believe that all forms from the Department of Labor serve the same purpose. In reality, each form is designed for specific applications, such as wage and hour claims, labor certifications, or workplace safety issues.

  2. You can submit forms without supporting documentation. Some people think that forms can be submitted independently. However, most forms require additional documents to support the claims or requests being made.

  3. Filing a form guarantees a favorable outcome. There is a misconception that submitting a DoL form will automatically result in a positive decision. The outcome depends on the details of the case and the evidence provided.

  4. All forms can be submitted online. While many DoL forms are available for online submission, not all can be filed electronically. Some may require paper submissions or in-person visits.

  5. Once a form is submitted, it cannot be changed. Many believe that submitted forms are final and cannot be amended. In fact, most forms can be revised or resubmitted if necessary, but it is important to follow the specific guidelines for corrections.

  6. There is no deadline for submitting forms. Some individuals think that they can submit forms at any time without consequences. However, many forms have strict deadlines that must be adhered to in order to be considered valid.

  7. Help is not available for filling out forms. A common belief is that individuals must complete forms on their own. In reality, there are resources and assistance available, including legal aid and community organizations, that can help navigate the process.

Key takeaways

When filling out and using the U.S. Department of Labor (DoL) form, it is important to keep several key points in mind. These takeaways will help ensure that the process is smooth and effective.

  • Accuracy is crucial. Double-check all entries for correct information to avoid delays or complications.
  • Understand the purpose of the form. Familiarize yourself with what the form is intended to achieve to provide the necessary information.
  • Follow the instructions carefully. Adhering to the guidelines provided will help you complete the form correctly.
  • Keep a copy of your submission. Retaining a copy will be useful for your records and any future inquiries.
  • Seek assistance if needed. If you encounter difficulties, consider reaching out to a professional for guidance.