The Department of Labor notes that it doesn’t require notarization the certified payroll statement of compliance but could enforce penalties for fraud against the party signing this statement. This could include a fine and imprisonment up to five years.

“Contractor or Subcontractor,” “Building or Work” and payroll period dates should match those identified on the first page of the report.

Payroll4Construction.com will print signatory party information and dates as specified in on the “Criteria” tab of the report, ensuring this information is consistent across the report.

Describe any deductions made for this payroll. If all relevant deductions are described on the first page, the Department of Labor permits contractors to write, “See Deductions column in this payroll.”

Payroll4Construction.com can list these for you or leave the field blank at your option.

Select the appropriate checkbox for Items 4(a) and 4(b) based on whether you’re paying all fringes to approved plans or whether you’re paying fringes in cash.

Item 4(c) exists to note any exceptions to what you’ve stated in either Item 4(a) or 4(b). In the left column, identify the excepted raft and in the right-hand column the hourly amount paid as an exception (as cash in lieu of fringes or as fringes rather than cash).

Name and title here should match the signatory part identified earlier on this page.

Payroll4Construction.com will again print this information for you and leave the signature field blank for you to sign.