The Delaware Payroll Report form is a crucial document that contractors and subcontractors must submit to the Delaware Department of Labor. This report details the wages paid to employees working on public projects, ensuring compliance with state prevailing wage laws. By accurately completing this form, employers affirm that all workers have received their due compensation and that the information provided is truthful and complete.
The Delaware Payroll Report form is an essential document used by contractors and subcontractors engaged in public projects within the state. This form serves multiple purposes, including the accurate reporting of employee wages and hours worked, as well as ensuring compliance with prevailing wage laws. Each report requires detailed information about the project, including the project location, contract number, and the date of the prevailing wage determination. Employers must list the names, social security numbers, and classifications of employees, alongside their total hours worked and gross wages earned for each pay period. The form also mandates the disclosure of deductions made from wages, ensuring that only permissible deductions are reported. Additionally, employers must confirm that all employees have been paid their full wages and that any apprentices are registered in a legitimate apprenticeship program. Failure to submit this report weekly can result in significant fines, emphasizing the importance of accuracy and timeliness. The form concludes with a certification statement, which must be signed and notarized, affirming the truthfulness of the reported information.
PAYROLL REPORT
of Labor
ADDRESS:
DelawareDepartmentof Labor
NAME OF CONTRACTOR [ ] OR SUBCONTRACTOR [ ]
State of Delaware
Division of Industrial Affairs
Department of Labor
225 Corporate Boulevard
4425 N. Market Street
Suite 104
Wilmington, DE 19802
Newark, DE 19702
302-761-8200
PHONE:
302-451-3423
PROJECT AND LOCATION
WEEK ENDING DATE
CONTRACT NUMBER
DATE OF PREVAILING WAGE DETERMINATION USED ON THIS
PROJECT:
DAY & DATE & HOURS WORKED EACH DAY
DEDUCTIONS
HOURLY
NAME, ADDRESS AND
TOTAL HOURS &
GROSS
NET
WORK
VALUE
SOCIAL SECURITY NUMBER
AMOUNT
WAGES
CLASSIFICATION
RATE OF PAY
OF EMPLOYEE
M
T
W
F
S
HOURS
RATE
EARNED
FICA
FWT
SWT
PAID
OF
FRINGES
1.
O
2.
3.
4.
5.
6.
7.
8.
DATE
I,
(Name of signatory party)
(Title)
do hereby state:
1.That I pay or supervise the payment of persons employed by
on the
(Contractor or Subcontractor)
:
(public project)
that during the payroll period commencing on the
day of
, 20
and ending on the
all persons employed on said project
have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of the contractor or subcontractor 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 defined in the prevailing wage regulations of the State of Delaware.
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 laborers or mechanics contained therein are not less than applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the 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, and that the worksite ratio of apprentices to mechanics does not exceed the ratio permitted by the prevailing wage regulations of the State of Delaware.
An employer who fails to submit sworn payroll information to the Department of Labor weekly shall be subject to fines of $1,000.00 and $5,000. for each violation.
List only those fringe benefits:
For which the employer has paid; and
Which have been used to offset the full prevailing wage rate.
(See Delaware Prevailing Wage Regulations for explanation of how hourly value of benefits is the be computed.)
HOURLY COST OF BENEFITS
(List in same order shown on front of record)
Employee
I hereby certify that the foregoing information is true and correct to the best of m knowledge and belief. I realize that making a false statement under oath is a crime in State of Delaware
Signature
STATE OF
COUNTY OF
SWORN TO AND SUBSCRIBED BEFORE ME, A NOTARY PUBLIC,
THIS
DAY OF
, A.D. 20
.
Notary Public
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