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U.S. DoL Template

The U.S. Department of Labor (DoL) form is a critical document that serves various purposes, including employment verification, wage reporting, and compliance with labor standards. Its complexity and the importance of accuracy in its completion cannot be understated. For individuals seeking guidance on filling out this form accurately, click the button below to get started.

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In the landscape of employment and labor within the United States, the Department of Labor (DoL) forms serve as crucial documents for both employers and employees. These forms cover a wide range of purposes, from wage and hour reporting to safety and health compliance, thus ensuring that workers are treated fairly and workplaces meet the required legal standards. Whether it’s for claiming benefits, reporting workplace issues, or ensuring compliance with labor laws, the DoL forms act as a bridge between government regulations and real-world workplace applications. Their pivotal role can't be understated, as they not only help in enforcing labor laws but also assist in the collection of important data for labor statistics, ultimately aiding in policy-making and enforcement. Navigating through these forms can be daunting for many, but understanding their purpose and how to properly fill them out is essential for maintaining lawful employment practices and protecting workers' rights.

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U.S. Department of Labor

 

PAYROLL

 

Wage and Hour Division

 

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

 

 

 

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

Rev. Dec. 2008

NAME OF CONTRACTOR

OR SUBCONTRACTOR

 

ADDRESS

OMB No.:1235-0008

 

 

 

 

Expires: 04/30/2021

 

 

 

 

 

PAYROLL NO.

 

FOR WEEK ENDING

PROJECT AND LOCATION

PROJECT OR CONTRACT NO.

(1)

NAME AND INDIVIDUAL IDENTIFYING NUMBER (e.g., LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER) OF WORKER

(2)

NO. OF WITHHOLDi NG TXE EMP IONS

(3)

WORK

CLASSIFICATION

(4) DAY AND DATE

(5)

(6)

(7)

 

 

(8)

 

(9)

 

 

 

 

 

 

 

 

T.

 

 

 

 

 

DEDUCTIONS

 

 

ORS

 

 

 

 

 

 

 

NET

 

 

GROSS

 

WITH-

 

 

WAGES

OT.

 

 

 

 

 

TOTAL

RATE

AMOUNT

 

HOLDING

 

TOTAL

PAID

HOURS WORKED EACH DAY

HOURS

OF PAY

EARNED

FICA

TAX

OTHER

DEDUCTIONS

FOR WEEK

O

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

O

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

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O

 

 

 

 

 

 

 

 

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While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a). The Copeland Act

(40 U.S.C. § 3145) contractors and subcontractors performing work on Federally financed or assisted construction contracts to "furnish weekly a statement with respect to the wages paid each employee during the preceding week." U.S. Department of Labor (DOL) regulations at

29 C.F.R. § 5.5(a)(3)(ii) require contractors to submit weekly a copy of all payrolls to the Federal agency contracting for or financing the construction project, accompanied by a signed "Statement of Compliance" indicating that the payrolls are correct and complete and that each laborer or mechanic has been paid not less than the proper Davis-Bacon prevailing wage rate for the work performed. DOL and federal contracting agencies receiving this information review the information to determine that employees have received legally required wages and fringe benefits.

Public Burden Statement

We estimate that is 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)

Date

I,

(Name of Signatory Party)

 

(Title)

do hereby state:

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

(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

(Contractor or Subcontractor)

on the

EXCEPTION (CRAFT)

EXPLANATION

; that during the payroll period commencing on the

(Building or Work)

day of

 

,

 

, and ending the

 

day of

 

,

 

,

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 said

from the full

(Contractor or Subcontractor)

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 Regulations, Part

3 (29 C.F.R. 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. § 3145), 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 laborers or mechanics 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 laborer or mechanic conform with the work he 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.

(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.

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.

Form Breakdown

Fact Name Description
Purpose The U.S. Department of Labor (DoL) form is used for various employment and labor-related purposes, including wage and hour claims, workplace safety complaints, and benefits registration.
Accessibility These forms are accessible online through the official U.S. DoL website, allowing for easy download and submission.
State-Specific Versions Certain DoL forms have state-specific versions to comply with local laws and regulations, ensuring that all procedures are adhered to accurately.
Governing Law(s) While the forms are federally issued, state-specific forms must observe the governing labor laws of their respective states, including wage laws, safety standards, and benefits eligibility.

Guidelines on Filling in U.S. DoL

After completing the U.S. Department of Labor (DoL) form, the submission process begins. This is a critical step toward ensuring that the information provided is processed accurately and swiftly. The details submitted on this form play a crucial role in determining eligibility, allowances, or compliance with U.S. labor laws. It's imperative to review the form thoroughly before submission, checking for accuracy and completeness. Once submitted, the DoL will review the form, a process that could involve further correspondence or requests for additional information. It's essential to respond promptly to any requests from the DoL to avoid delays.

Steps for Filling Out the U.S. DoL Form:

  1. Begin by carefully reading through the entire form to understand the type of information required.
  2. Enter personal information, including full name, address, and social security number, in the designated fields.
  3. Provide your employment details, such as job title, employer name, and employment dates, in the relevant sections.
  4. Fill in any section that pertains to the specific reason you are completing this form. This could range from reporting working conditions to applying for benefits.
  5. Review the sections that deal with compliance and legal attestations. It is crucial to understand these parts before signing.
  6. Sign and date the form in the provided spaces. If you are filling out the form digitally, ensure that your electronic signature meets the required standards.
  7. Double-check all the information for accuracy and completeness. Incorrect or missing information can lead to processing delays or form rejection.
  8. Follow the instructions for submission, which may include mailing, faxing, or electronically submitting the form via the DoL’s designated platform or email address.
  9. Keep a copy of the completed form and any confirmation of submission for your records.

Completing the U.S. DoL form accurately and thoroughly is the first step in a series of actions toward achieving compliance, receiving benefits, or resolving issues. Being meticulous throughout the process and responsive to any follow-up requests is key to a favorable outcome. Each step, from providing detailed information to timely submission, is integral to the process, ensuring that the purpose of filling out the form is achieved efficiently.

Learn More on U.S. DoL

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

The U.S. Department of Labor (DoL) form refers to a collection of documents used for various purposes, such as employee rights, wages, benefits, health and safety protections, and immigration. These forms are necessary for compliance with federal labor laws and are used by employers, employees, and job seekers.

Where can I find the DoL forms?

DoL forms are available on the U.S. Department of Labor's official website. They can be found under the specific section related to your needs, such as Wage and Hour Division (WHD), Occupational Safety and Health Administration (OSHA), Employment and Training Administration (ETA), and others. Additionally, physical copies may be obtained from local DoL offices.

How do I know which DoL form I need?

  • Employment Situation: The type of form needed depends on the specific employment situation or issue at hand. For instance, forms will differ for wage disputes, workplace injuries, or employment training.
  • Seek Guidance: If uncertain, seek guidance from the DoL website or contact them directly. The website provides resources and contact information to help identify the appropriate form.
  • Legal Advisor: Consulting with a legal advisor or human resources professional can also be beneficial in determining the correct form.

What is the process for submitting a DoL form?

  1. Download or Collect: Obtain the correct form from the DoL website or your local DoL office.
  2. Complete: Fill out the form with accurate information. Ensure all required fields are completed to avoid delays.
  3. Sign and Date: Sign and date the form as indicated. Some forms may require a witness or notarization.
  4. Submit: Submit the form to the designated office or online portal, as specified in the form's instructions. Some forms may be submitted electronically, while others require mailing or personal delivery.
  5. Confirmation: Keep a copy of the submitted form and any confirmation of receipt for your records.

Are there deadlines for submitting DoL forms?

Yes, many DoL forms have submission deadlines, which vary depending on the type of form and the specific issue it addresses. Failure to meet these deadlines can result in penalties, loss of rights, or denial of claims. Review the instructions on the form carefully for information about submission deadlines and act promptly to ensure compliance. When in doubt, consult the DoL website or contact a representative for guidance.

Common mistakes

Filling out forms for the U.S. Department of Labor (DoL) can seem straightforward, yet there are common mistakes that people often make. Recognizing these errors can help ensure the process goes more smoothly and can prevent unnecessary delays or complications. Here are six errors frequently encountered:

  1. Not double-checking for accuracy. It's important to review all the information entered on the form for accuracy. Even minor mistakes like misspellings or incorrect numbers can lead to delays or issues in processing the form.

  2. Overlooking required fields. Every question on the form is there for a reason. Skipping sections because they seem irrelevant or because you're unsure of the answer can cause your submission to be incomplete. An incomplete form can result in it being returned or set aside until the missing information is provided.

  3. Not using the most current form version. The DoL periodically updates its forms. Using an outdated version can mean that your submission doesn't include the latest required information or follows the most recent instructions, leading to possible processing delays.

  4. Failing to provide supporting documents. Some forms require additional documentation to support the information provided or to verify identity, employment, etc. Forgetting to attach these documents can stall the processing of your form.

  5. Using incorrect filing method. Each form may have specific instructions on how it needs to be submitted (e.g., electronically, via mail). Ignoring these instructions and choosing a different submission method can result in your form not being accepted or processed.

  6. Ignoring deadline dates. Many forms have deadlines by which they must be submitted to be considered valid. Missing these deadlines can result in missed opportunities or the need to start the process over again.

To avoid these and other mistakes, it is recommended to take the time to carefully read the instructions provided with each DoL form, double-check all entries for accuracy and completeness, and ensure that all submission guidelines, including deadlines, are strictly followed.

Documents used along the form

When dealing with employment matters, especially those related to labor standards and rights, the U.S. Department of Labor (DoL) forms are a crucial part of the process. However, these forms are rarely submitted in isolation. A variety of other documents often accompany a DoL form submission to ensure thoroughness, compliance, and to support the information or claims being made. Understanding these additional documents can be beneficial for both employers and employees for a smoother transaction with the DoL and other relevant agencies.

  • W-2 Form - This form is issued by employers to employees and the IRS at the end of each tax year. It reports an employee's annual wages and the amount of taxes withheld from their paycheck. It is a key document used for tax filing and often accompanies DoL forms when wage-related issues are involved.
  • I-9 Form - Employment Eligibility Verification form is required by the DoL to verify the identity and legal authorization to work of all paid employees in the U.S. I-9 forms are often submitted with DoL documents for cases involving work eligibility and verification checks.
  • OSHA Form 300 - The Occupational Safety and Health Administration (OSHA) requires this log for recording work-related injuries and illnesses. Businesses may need to submit this form with applicable DoL documentation for workplace safety investigations.
  • FLSA Compliance Form - This form is used to demonstrate compliance with the Fair Labor Standards Act, which governs wage and hour standards across the country. It's often necessary when dealing with wage and hour disputes.
  • Family and Medical Leave Act (FMLA) Forms - Employers and employees use these forms to request or manage leave under the FMLA. They are crucial for situations involving disputes or compliance issues related to FMLA leave.
  • Employee Handbook Acknowledgement Receipt - This document is not a form by the government but is critical in labor disputes. It shows that the employee is aware of company policies, which can be pertinent in DoL cases.
  • Unemployment Claim Forms - These state-specific forms are used by individuals applying for unemployment benefits. While not a DoL form, they often relate to cases involving job loss or disputes over eligibility for unemployment insurance.
  • Worker's Compensation Claim Forms - In the case of a workplace injury, these forms are used to file a claim for worker's compensation. The documentation may be used in conjunction with DoL forms for resolving disputes related to workplace injuries or illnesses.

The interplay between these documents and the DoL forms is a testament to the complexity of employment law and the need for careful documentation and compliance. For employees and employers alike, familiarizing oneself with these documents and understanding their relationship to the broader regulatory environment is crucial. Not only does it facilitate smoother interactions with government agencies, but it also helps ensure that rights are protected and obligations are met. Proper preparation and knowledge of these forms can aid significantly in navigating the complexities of labor standards and employment law.

Similar forms

  • IRS W-4 Form: Similar to the U.S. Department of Labor (DoL) form, the IRS W-4 form is used by employees to indicate their tax withholdings to their employer. Both documents are essential for payroll and ensuring compliance with federal tax obligations.

  • I-9 Employment Eligibility Verification: The I-9 form, like the DoL form, is mandated by the federal government. It verifies an employee's legal right to work in the United States, requiring documentation and personal information, sharing the DoL form's purpose of ensuring workforce legality and compliance.

  • OSHA Form 300: This form, utilized for recording work-related injuries and illnesses, shares its regulatory nature with the DoL form. Both are designed to uphold worker safety and health standards, though they focus on different aspects of labor regulation.

  • FLSA Compliance Form: Focused on ensuring employers comply with the Fair Labor Standards Act, this form shares its goal of protecting worker rights with the DoL form, especially concerning wages and working hours.

  • EEO-1 Report: Required for companies with 100 or more employees, the EEO-1 Report collects workforce data categorized by race, ethnicity, gender, and job category, similar to the DoL form's purpose of promoting labor compliance and fairness in employment practices.

  • FMLA Request Form: The Family and Medical Leave Act (FMLA) request form, like the DoL form, is critical for employees seeking to take leave for family and medical reasons, ensuring employers accommodate these rights in accordance with federal law.

  • Employee's Withholding Certificate: Another IRS document similar to the DoL form is the employee's withholding certificate, which supplements the W-4 by providing more detailed information on an employee’s withholding allowances, essential for accurate tax deductions.

  • Benefit Election Form: Used by employees to select or change their benefit options, such as health insurance or retirement plans, this form, like the DoL form, plays a critical role in managing employee benefits and personal information.

  • Workers' Compensation Claim Form: This form is essential for employees who are injured on the job, paralleling the DoL form in its function to facilitate rights and benefits, in this case, related to workplace injuries.

  • OSHA Safety and Health Program Checklist: While more of a tool than a formal document, it's akin to the DoL form in that it helps employers verify compliance with safety and health standards, ultimately supporting the well-being and protection of the workforce.

Dos and Don'ts

Filling out U.S. Department of Labor (DoL) forms requires attention to detail and an understanding of the required information. To ensure the process is done correctly and efficiently, here are essential dos and don'ts to abide by.

Do:

  1. Read the entire form and instructions carefully before starting. This ensures you understand what information is needed and how to provide it.
  2. Use black ink or type your responses if the form allows. This improves legibility and prevents any misinterpretation of your information.
  3. Double-check your answers for accuracy. Verify dates, numbers, and spelling to ensure all information is correct and conforms to your records.
  4. Keep a copy of the completed form and any supporting documents for your records. This is important for future reference or in case the original submission is lost or questioned.

Don't:

  • Leave sections blank unless instructed. If a section does not apply, fill in with "N/A" (not applicable) to indicate that you did not overlook the question.
  • Guess on dates or figures. If you are unsure, look up the correct information before filling it in to avoid discrepancies.
  • Ignore requests for additional documentation. If the form asks for supporting documents, be sure to include them with your submission to avoid delays.
  • Use correction fluid or tape. Mistakes should be neatly crossed out, and the correct information should be written nearby. This maintains the form's readability and integrity.

Misconceptions

When it comes to completing and submitting forms for the U.S. Department of Labor (DoL), there are several misconceptions that people frequently encounter. It's important to address these misunderstandings to ensure accuracy and compliance in the submission process. Here are seven common misconceptions explained:

  • The form is only for labor complaints. Many believe that the DoL form is exclusively for filing labor-related complaints. However, it covers a wide range of functions, including wage reporting, benefits claims, and compliance with labor standards.
  • Completing the form is complicated. There's a common misconception that DoL forms are always complex and difficult to fill out. While it's true that some sections may require detailed information, the DoL provides instructions and resources to assist filers, making the process more manageable.
  • Only employees can file DoL forms. It's often thought that these forms are strictly for employee use. In reality, employers, job applicants, and former employees can also need to submit certain forms for various purposes, including job-related injuries and unemployment claims.
  • All DoL forms must be submitted in paper format. While paper submissions were once the norm, many forms can now be submitted online. This digital option simplifies the process, making it more accessible and environmentally friendly.
  • There's no deadline for submitting DoL forms. Some people believe they can submit DoL forms at any time. However, many forms have specific deadlines, failing which could result in penalties, delays in processing, or denial of claims.
  • Every business needs to file the same DoL forms. The requirement for filing DoL forms varies by the type of business, the number of employees, and other factors. Not all businesses will need to file the same forms, as different regulations and standards apply depending on the situation.
  • Personal information isn't secure on DoL forms. Concerns about personal information security are valid. Nevertheless, the DoL employs various measures to protect the confidentiality and integrity of the data submitted through their forms, adhering to government standards for information security.

Key takeaways

Filling out and using the U.S. Department of Labor (DoL) form involves several key considerations that are crucial for compliance and successful submission. The process, while may seem daunting at first, is made easier by understanding the specific requirements and the purpose behind each section of the form. Here are four key takeaways to keep in mind:

  • Accuracy is paramount: Every piece of information you provide on the DoL form must be accurate and complete. Inaccuracies can lead to processing delays, audits, or even legal issues. Double-check all entries for correctness and ensure that they match the records you have on file.
  • Understand the specific form requirements: The DoL offers a variety of forms, each serving a different purpose. Whether you're reporting workplace injuries, applying for permits, or fulfilling labor certification requirements, make sure you're using the correct form for your specific needs. Familiarize yourself with the form's instructions, which provide valuable information on how to fill out each section correctly.
  • Timeliness matters: Many DoL forms have submission deadlines that must be adhered to. Missing a deadline can result in penalties, loss of benefits, or other negative consequences. Mark your calendar with these important dates, and consider submitting the forms ahead of the deadline to avoid any last-minute issues.
  • Keep a copy for your records: After submitting any DoL form, it's wise to keep a copy for your own records. This practice can be invaluable in the event of discrepancies or if the DoL requests further information. A copy can also help you prepare for the next time you need to fill out the same form, serving as a reference for previously provided information.
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