INSTRUCTIONS FOR PREPARING CERTIFIED PAYROLL REPORTS
Contractors and subcontractors are required by law to submit certified payroll reports
for work on projects covered by Ohio's Prevailing Wage Law. This form meets the
reporting requirements established by Ohio Revised Code Chapter 4115. The use of
this form is not mandatory, employers may submit their own forms provided that all
of the required information is included. This form may be reproduced, or additional
copies obtained from:
Ohio Department of Commerce
Division of Industrial Compliance and Labor
Bureau of Wage & Hour Administration
6606 Tussing Rd.
PO Box 4009
Reynoldsburg, OH 43068-9009
(614) 644-2239, ADA# 1-800-750-0750
- Certified Payroll Heading
Employer Name and Address:
Company's full name and address. Indicate if the company is a subcontractor, if
so list the name of the General or Prime.
Name and location of the project, including county.
Contracting Public Authority:
Name and address of the contracting public authority.
Month, day, and year for last day of reporting period.
Payroll # :
Indicates first, second, third, etc. payroll filed by the company for the project.
Number of pages included in the report.
Determined by the public authority. If there is no number leave blank.
- Payroll Information By Column
1. Employee Name, Address and Social Security number:
This information must be provided for all employees that perform physical labor
on the project. Corporate officers, partners, and salaried employees are considered
employees and must be paid the prevailing rate. Individual sole proprietors do not
have to pay themselves prevailing rate but must report their hours on the project.
2. Work Class:
List classification of work actually performed by employee. If unsure of work classification,
consult the Ohio department of Commerce, Wage and Hour Bureau. Employees working
more than one classification should have separate line entries for each classification.
Indicate what year/level for Apprentices. Be specific when using laborer and operator
classifications; for example, Backhoe Operator or Asphalt Laborer.
3. Hours Worked, Day & Date:
In the first row of column 3 enter days of pay period. For example: M T W
TH F S S. The second row is for the date that corresponds with each day for the
pay period. In the employee information section enter the number of hours worked
on the prevailing wage project and which day(s) the hours were worked. Separate
rows are labeled for (ST) straight time hours and (OT) overtime hours. All hours
worked beyond 40 hours must be paid at the appropriate overtime rate.
4. Project Total Hours:
Total the hours entered for pay period.
5. Base Rate:
Enter actual rate per hour paid to the employee. The overtime hourly rate is time
and one-half the base rate listed in the prevailing wage schedule plus fringe benefits
at straight time rate. The prevailing wage schedule lists the base rate plus fringe
benefit amounts. These amounts added together equal the total prevailing wage rate.
Employers must pay this total amount in one of three ways:
- Total rate may be paid in entirety in the base rate to the employee; in which case,
the cash designation will be checked for fringe benefits.
- Total rate may be paid as listed in prevailing wage rate schedule with total fringe
amounts paid approved plans.
- Total rate may be paid with a combination of base rate and fringe payments to approved
plans in amounts other than those listed in schedule.
6. Project Gross:
Enter total gross wages earned on the project for straight time and overtime. Project
hours multiplied by base rate should equal project gross.
If fringe benefits are paid in the hourly base rate, indicate this by marking the
cash space. If fringe benefits are paid to approved plans as listed in the prevailing
wage rate schedule, mark the space for Approved Plans. If fringe benefits are paid
partially in the base rate and partially to approved plans, mark the space for Cash
& Approved plans. List the hourly amount paid to approved plans for each fringe.
If payments are not made on a per-hour basis, calculate the hourly fringe credit
by dividing the yearly employer contribution by the lesser of: hours actually worked
in the year (these must be documented) or 2080. Fringe benefits include: Employer's
share of health insurance, life insurance, retirement plan, bonus/profit sharing,
sick pay, holiday pay, personal leave, vacation, and education/training programs.
8. Total Hours All Jobs:
Total all hours worked during the pay period including non-prevailing wage jobs.
9. Total Gross All Jobs:
Gross amount earned in the pay period for all hours worked.
10. Self explanatory.
11. Self explanatory.
12. Self explanatory.