- Contractor or subcontractor, address
- Your company's legal name and address. Each sub submits its own payroll.
- Payroll number and week ending
- Number payrolls in order from 1 for the job; the week-ending date is the last day of the payroll week.
- Project and location, project or contract number
- As written in the contract.
- (1) Name and individual identifying number
- The worker's name and the identifier the instructions allow. Payrolls you submit must not include full Social Security numbers or home addresses.
- (2) Withholding exemptions
- As claimed by the worker for tax withholding.
- (3) Work classification
- The classification from the wage determination that matches the work done. A worker in two classifications is listed for each.
- (4) Day, date and hours
- Hours worked each day, with straight time and overtime on separate lines.
- (5) Total hours
- Straight time and overtime totals for the week.
- (6) Rate of pay
- Hourly rate for straight time and for overtime, and fringe as applicable.
- (7) Gross amount earned
- Gross for this project, and gross for all work if the worker also worked elsewhere.
- (8) Deductions
- FICA, withholding, other, and the total.
- (9) Net wages paid for the week
- Gross minus deductions.
- Statement of Compliance
- Signed by an authorised officer, it certifies the payroll and says how fringe benefits were paid. Use the statement on the official form.