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Includes fields for contractor/subcontractor identification, payroll number, week-ending date, project and contract information, employee details, work classification, daily hours, overtime or standard hours, rates, gross earnings, deductions (including FICA/SS and withholding tax), and net wages paid for the week. Page 2 contains signatory certification statements, fringe benefit provisions (paid via approved plans or in cash), exception tracking for crafts, and an admonition that willful falsification may lead to civil or criminal prosecution per U.S. code references.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/certified-wage-and-hour-payroll-template-certified-wage-and-hour-payroll-report/348475/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/certified-wage-and-hour-payroll-template-certified-wage-and-hour-payroll-report/348475.png","ImageObject",442,249,{"name":88,"@type":89},"Chumphorn","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-22",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",13,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What information is collected for each employee on the payroll report?","Question",{"text":109,"@type":110},"The report includes an employee identifying number (last 4 of Social Security), number of withholding exemptions, work classification, daily hours (including standard or overtime indicators), total hours, rate of pay, gross amount earned, deductions, and net wages paid for the week.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the template handle deductions?",{"text":114,"@type":110},"It separates deductions into categories such as FICA/SS, WHDG tax, other deductions, and total deduction amounts, which feed into the calculation of net wages paid for the week.",{"name":116,"@type":107,"acceptedAnswer":117},"What certifications and fringe benefit rules are required on page 2?",{"text":118,"@type":110},"The signatory states that weekly wages were paid in full with no improper rebates or unauthorized deductions, and that payroll information is correct and complete. It also specifies fringe benefits treatment, including payments to approved plans/funds/programs or fringe benefits paid in cash, with an exceptions section for craft-specific notes.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},348475,1790623602,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":76,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":9},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","CERTIFIED WAGE AND HOUR PAYROLL TEMPLATE  \nCERTIFIED WAGE AND HOUR PAYROLL REPORT (For contractor Optional Use, See Instructions, Form WH-347, Inst. )  \nPAGE 1 of 2  \n\n| NAME OF CONTRACTOR |  | or SUBCONTRACTOR |  |  | \u003Cbr>ADDRESS: |  |  |  |  |  |  |  |  |  |  |  | OMB NO. 1215-0150 |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| PAYROLL NO. |  | FOR WEEK ENDING |  |  | \u003Cbr>PROJECT AND LOCATION: |  |  |  |  |  |  |  |  |  |  |  | \u003Cbr>PROJECT OR CONTRACT NO: |  |  |\n| 1\u003Cbr>NAME AND IDENTIFYING NUMBER (LAST 4 OF SOCIAL SECURITY NO.) OF EMPLOYEE |  | 2\u003Cbr>NO. OF\u003Cbr>WITH\u003Cbr>HOLDING\u003Cbr>EXEMPTIONS | 3\u003Cbr>WORK\u003Cbr>CLASSIFICATION |  | (4) DAY AND DATE |  |  |  |  |  |  | 5\u003Cbr>TOTAL\u003Cbr>HOURS | 6\u003Cbr>RATE OF\u003Cbr>PAY | 7\u003Cbr>GROSS\u003Cbr>AMOUNT\u003Cbr>EARNED | 8\u003Cbr>DEDUCTIONS |  |  |  | 9\u003Cbr>\u003Cbr>NET WAGES PAID FOR WEEK |\n|  |  |  |  | STor OT |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FICA /\u003Cbr>SS | WHDG\u003Cbr>TAX | OTHER | TOTAL\u003Cbr>DEDUCTION |  |\n|  |  |  |  |  | HOURS WORKED EACH DAY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | S |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  | O |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n\nCERTIFIED WAGE AND HOUR PAYROLL REPORT PAGE 2 of 2  \nNAME OF SIGNATORY PARTY TITLE  \nI,  \n\n|  |  |\n| --- | --- |\n\ndo hereby state:  \n(1) That I pay or supervise the payment of the persons employed by  \nCONTRACTOR OR SUBCONTRACTOR  \non the BUILDING OR WORK  \nthat during the payroll period commencing on:  \nSTART DATE  \nand ending:  \nall persons employed on said project have been paid in full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of said  \nCONTRACTOR OR SUBCONTRACTOR  \nfrom 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 that permissible deductions as defined in regulations, Part 3 (29 CFR Subtitle A), issued by the Secretary of Labor under the Copeland Act, as amended (48 Stat. 948, 63 Stat. 108,72 Stat. 357; 40 U.S.C. 276c), as described below  \n(2)  \n(3)  \n(4)  \nThat any payroll otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rate for laborers or mechanic contained therein are not less than the applicable wage rate contained in any wage determination incorporated into the contract; that the classification","cbCaiirGsZ5zfY8h","https://ap.wps.com/l/cbCaiirGsZ5zfY8h","pdf",677572,"English","# Certified Wage and Hour Payroll Report\n## Payroll Information (Page 1 of 2)\n## Employee Payroll Details\n## Signatory Certification and Fringe Benefits (Page 2 of 2)\n## Exceptions and Signature","[{\"question\":\"What information is collected for each employee on the payroll report?\",\"answer\":\"The report includes an employee identifying number (last 4 of Social Security), number of withholding exemptions, work classification, daily hours (including standard or overtime indicators), total hours, rate of pay, gross amount earned, deductions, and net wages paid for the week.\"},{\"question\":\"How does the template handle deductions?\",\"answer\":\"It separates deductions into categories such as FICA/SS, WHDG tax, other deductions, and total deduction amounts, which feed into the calculation of net wages paid for the week.\"},{\"question\":\"What certifications and fringe benefit rules are required on page 2?\",\"answer\":\"The signatory states that weekly wages were paid in full with no improper rebates or unauthorized deductions, and that payroll information is correct and complete. It also specifies fringe benefits treatment, including payments to approved plans/funds/programs or fringe benefits paid in cash, with an exceptions section for craft-specific notes.\"}]","CERTIFIED WAGE AND HOUR PAYROLL TEMPLATE - Certified Wage and Hour Payroll Report | PDF",1790073829]