HOW TO COMPLETE PAYROLL FORMS For Subcontractors only: (Front Section) Enter IRS number on first payroll. Check correct box. U.S. DEPARTMENT OF LABOR PAYROLL Wage and Hour Division OMB No.: 1235-0008 IRS# 24169475 Expires 04/30/2018 NAME OF CONTRACTOR OR SUBCONTRACTOR ABC Construction ADDRESS 1234 Main Street, Nampa, Idaho PAYROLL NO. 12 Final FOR WEEK ENDING July 9, 2018 PROJECT AND LOCATION City of Reubens PROJECT OR CONTRACT NO. CDBG-18-II-20-PF Payrolls must be numbers sequentially. Write the work “Final” after the number on you last payroll. RATE OF PAY (Column 6) Straight Time: Include fringe amount ONLY IF YOU PAY ALL OR PART IN CASH. (See back of payroll if you pay fringe amount to plan, fund or program. Specify Type of deduction Total deduction withheld Enter days of week work was performed. Overtime: is calculated at (1 ½ x base) + fringe. Include fringe amount in this column ONLY IF YOU PAY ALL OR PART IN CASH. (See back of payroll if fringe amount paid to plan, etc.) (1) NAME AND IDENTIFICATION NUMBER OF EMPLOYEE NO. OF WITHHOLDING EXEMPTIONS (3) WORK CLASSIFICATION OT. . (4) DAY AND DATE (5) TOTAL HOURS (6) RATE OF PAY (7) GROSS AMOUNT EARNED (8) DEDUCTIONS (9) NET WAGES PAID FOR WEEK S M T W T F S 10 11 12 13 14 15 16 FICA TAX State Tax OTHER TOTAL DEDUCTIONS HOURS WORKED EACH DAY Carson Wentz #1256 1 Electrician O 10 10 15.00 555.00 42.00 36.24 4.50 2.60 1.31 86.67 464.33 S 10 10 10 10 40 10.00 Identification # required: The first time the workers name appears on the payroll. Fill in the classification EXACTLY as it appears on the determination. OVERTIME Hours on this project contracted exceeding 40 per week. Enter gross, each deduction and net. Check your figures. Subtract the total amounts withheld from the total gross. The result should equal the total in Column 9. If classification is for a power equipment operator, indicate type, size, horsepower STRAIGHT TIME Hours worked on this contract up to 40/wk
* Overtime involving contract work hours and safety standards act when employee works on multiple federal projects. U.S. DEPARTMENT OF LABOR PAYROLL Wage and Hour Division Expires 04/30/2018 NAME OF CONTRACTOR OR SUBCONTRACTOR ABC Construction ADDRESS 1234 Main Street, Nampa, Idaho PAYROLL NO. 11 FOR WEEK ENDING July 9, 2018 PROJECT AND LOCATION City of Reubens PROJECT OR CONTRACT NO. ICDBG-18-II-20-PF (1) NAME AND IDENTIFICATION NUMBER OF EMPLOYEE NO. OF WITHHOLDING EXEMPTIONS (3) WORK CLASSIFICATION OT. . (4) DAY AND DATE (5) TOTAL HOURS (6) RATE OF PAY (7) GROSS AMOUNT EARNED (8) DEDUCTIONS (9) NET WAGES PAID FOR WEEK S M T W T F S 3 4 5 6 7 8 9 FICA TAX Health IRA OTHER (Union Dues) TOTAL DEDUCTIONS HOURS WORKED EACH DAY Allen Robinson 1 Apprentice Carpenter 1st 6 mo. 40% O 107.04 7.69 12.60 2.62 1.31 1.26 25.47 117.32 S 4 8 8 20 5.35 O S Mitchell Trubisky 2 Carpenter O 8 8 20.07 160.56 34.00 75.00 9.00 6.47 4.20 125.61 342.23 S 13.38 O S Allen Robinson Shows apprentice classification Mitchell Trubisky Although Staunton only worked 8 hours on this contract, he is entitled to 8 hours overtime. That is because Staunton worked 40 hours on other federally funded project this week. Shows step percentage Attach copy of registration in approved DOL program with first payroll. HOW TO REPORT: * Times and wages if employee works more than one classification during the week.
* When an employee moves. DEPARTMENT OF LABOR PAYROLL Wage and Hour Division OMB No.: 1235-0008 Expires 04/30/2018 NAME OF CONTRACTOR OR SUBCONTRACTOR ABC Construction ADDRESS 1234 Main Street, Nampa, Idaho PAYROLL NO. 11 FOR WEEK ENDING July 9, 2018 PROJECT AND LOCATION City of Reubens PROJECT OR CONTRACT NO. ICDBG-18-II-20-PF (1) NAMEAND IDENTIFICATION NUMBER OF EMPLOYEE NO. OF WITHHOLDING EXEMPTIONS (3) WORK CLASSIFICATION OT. . (4) DAY AND DATE (5) TOTAL HOURS (6) RATE OF PAY (7) GROSS AMOUNT EARNED (8) DEDUCTIONS (9) NET WAGES PAID FOR WEEK S M T W T F S 3 4 5 6 7 8 9 FICA TAX Health IRA OTHER (Union Dues) TOTAL DEDUCTIONS HOURS WORKED EACH DAY Matthew Stafford 1 Carpenter O 242.56 24.43 74.80 8.35 4.18 5.25 117.01 300.59 S 8 8 4 3 23 8.92 Matthew Stafford 1 General Laborer O 1 1 10.20 S 4 4 6.80 Jamaal Charles 2 Carpenter O 356.80 20.87 54.50 7.14 3.57 3.20 89.28 267.52 S 8 8 8 8 8 40 8.92 Matthew Stafford Since Stafford worked at more than one classification during the week: Use 2 lines, one for each classification Gross amount earned can be totaled and entered on one line HOW TO REPORT: * Working Subcontractor * Owner Working with Employees. DEPARTMENT OF LABOR PAYROLL