Weekly Certified Payroll Form
A weekly certified payroll form is a payroll form which is certified by the government or the department of a certain state which looks after payroll of the labours. The form helps to track the amount wages that a labour is bound to receive for working certain number of hours in a week. The form also helps to remove any confusion that the labour may have regarding the amount of wages he is entitled to.
Sample Weekly certified payroll form
Weekly certified payroll form
Department of Labour and Workforce of Florida
Contractor details
Name of contractor: _____________ Contractor license number: __________
Address of contractor: _____________ Street address, ______________ City, ______________ State, __________ Zip code
Contact number: ________________
Mobile number: ___________________
Sub-contractor: __________________
Payroll details
Payroll for the week ending: __________ Payroll number: _____________
Name of the project: _____________
Location of the project: _____________ Street address, ______________ City, ______________ State, __________ Zip code
Total contract amount: ______________
Date of starting the work: ____________ Estimated date of completing the work: ______________
| Name, address and SSN number of the labour | Union Membership
(write Yes or No) |
Days of the week worked on | Totals number of hours worked in a week | Rate per hour | Deductions
(if any)
|
Net amount earned |
| Name: ___________
Address: _____________ Street address, ______________ City, ______________ State, __________ Zip code SSN: ________
|
||||||
| Name: ___________
Address: _____________ Street address, ______________ City, ______________ State, __________ Zip code SSN: ________
|
This payroll form has been certified by the head of Department of Labour and Workforce of Florida.
Name: ________________
Signature: ______________ Date: ___________
Category: Payroll Forms

