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

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