Certified Payroll Form and Statement of Compliance
This file contains the Certified Payroll Form and Statement of Compliance required by Minnesota's Department of Labor and Industry. It is essential for contractors and subcontractors to comply with prevailing wage laws. Proper completion ensures timely submission and certification of payroll records.
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How do I fill this out?
To fill out this form, start by gathering all necessary employee and project information. Ensure that you understand the prevailing wage rates applicable to the employees listed. Review the completed form for accuracy before submission.

How to fill out the Certified Payroll Form and Statement of Compliance?
1
Gather employee names, addresses, and identifying numbers.
2
Fill in the details of wages paid and hours worked.
3
Attach the completed Statement of Compliance.
4
Review the form for completeness and accuracy.
5
Submit the completed form to the contracting authority.
Who needs the Certified Payroll Form and Statement of Compliance?
1
Contractors who must report wages for compliance.
2
Subcontractors ensuring reporting aligns with state laws.
3
Government agencies monitoring wage compliance.
4
Employees needing to verify wage reporting accuracy.
5
Auditors reviewing wage and compliance records.
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What are the instructions for submitting this form?
To submit the Certified Payroll Form, send the completed document to the designated contracting authority's office. This can be done via email, mail, or fax, depending on the authority's preferences. Ensure all submissions are made biweekly, along with any required documentation, to stay compliant with Minnesota laws.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 for the Certified Payroll Form include the deadlines for reporting payrolls biweekly as stipulated by the contracting authority. Ensure to check specific state guidelines for updates on any proposed changes or deadlines. Compliance with these dates is crucial to avoid penalties.

What is the purpose of this form?
The purpose of this form is to ensure compliance with Minnesota's prevailing wage laws for public works contracts. It mandates that contractors and subcontractors report wages paid to their employees accurately. By requiring detailed payroll information, the form allows for government oversight and helps protect workers' rights.

Tell me about this form and its components and fields line-by-line.

- 1. Employee Name: Name of the employee receiving the wages.
- 2. Address: Residential address of the employee.
- 3. Hourly Rate: The wage rate paid to the employee for their work.
- 4. Hours Worked: Total hours worked by the employee during the pay period.
- 5. Employer Information: Details of the contractor or subcontractor completing the form.
What happens if I fail to submit this form?
Failure to submit this form can lead to compliance issues and potential penalties for contractors or subcontractors. Incomplete or inaccurate submissions may result in audits or legal consequences under state law. It is crucial to ensure that the form is properly filled out and submitted on time.
- Compliance Issues: Non-submission may result in violations of prevailing wage laws.
- Penalties: Contractors may face fines or loss of contracts.
- Audit Risks: Inaccurate records may trigger audits by state authorities.
How do I know when to use this form?

- 1. Public Construction Projects: Use this form when working on state-funded projects.
- 2. Subcontractor Reporting: Subcontractors must submit this form to ensure compliance.
- 3. Wage Verification: Employers should use this form for verifying wages paid.
Frequently Asked Questions
What is the Certified Payroll Form?
The Certified Payroll Form is required for contractors and subcontractors working on public projects in Minnesota to report wages and comply with prevailing wage laws.
How do I fill out the Certified Payroll Form?
Gather employee information, wages, and hours worked. Complete the form, ensuring all fields are accurately filled.
Can I edit this form on PrintFriendly?
Yes, PrintFriendly allows you to edit this form directly within its PDF editing tool.
How do I submit the completed form?
Submit the completed form to the relevant contracting authority as specified in the instructions.
What happens if I submit the form late?
Late submission may lead to compliance issues and potential penalties, so ensure timely reporting.
Is there a digital signature option?
Yes, you can easily add a digital signature to your form using PrintFriendly.
How can I share this form with others?
PrintFriendly provides a link to share your edited PDF easily with others.
What kind of information do I need to fill out?
You will need employee names, wage rates, hours worked, and details about the project.
Where can I find more resources about prevailing wage laws?
You can visit the Minnesota Department of Labor and Industry's website for more information.
Can I download the filled form?
Yes, after editing, you can download the form to your device.
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