Delaware Documents Online
Homepage → Fill Out Your Delaware Payroll Report Form

Fill Out Your Delaware Payroll Report Form

Make Your Delaware Payroll Report Now
Content Navigation

Example - Delaware Payroll Report Form

 

PAYROLL REPORT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

of Labor

ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

DelawareDepartmentof Labor

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF CONTRACTOR [ ] OR SUBCONTRACTOR [ ]

 

 

 

 

 

 

 

 

 

State of Delaware

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Division of Industrial Affairs

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Department of Labor

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

225 Corporate Boulevard

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4425 N. Market Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suite 104

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Wilmington, DE 19802

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Newark, DE 19702

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

302-761-8200

 

 

 

 

 

 

 

 

PHONE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

302-451-3423

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJECT AND LOCATION

 

WEEK ENDING DATE

 

 

 

 

 

 

CONTRACT NUMBER

DATE OF PREVAILING WAGE DETERMINATION USED ON THIS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJECT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DAY & DATE & HOURS WORKED EACH DAY

 

 

 

DEDUCTIONS

 

HOURLY

 

NAME, ADDRESS AND

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL HOURS &

GROSS

 

 

 

 

 

 

NET

 

 

WORK

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

VALUE

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

AMOUNT

 

 

 

 

 

 

WAGES

 

CLASSIFICATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RATE OF PAY

 

 

 

 

 

 

 

 

OF EMPLOYEE

 

 

 

M

 

 

T

 

 

W

 

 

T

 

 

F

 

 

S

 

 

S

 

 

HOURS

RATE

EARNED

FICA

FWT

 

SWT

 

 

PAID

OF

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FRINGES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

S

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

8.

 

O

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE

I,

 

 

 

(Name of signatory party)

 

(Title)

do hereby state:

 

 

1.That I pay or supervise the payment of persons employed by

 

 

 

 

 

 

 

 

 

 

on the

(Contractor or Subcontractor)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

:

(public project)

 

 

 

 

 

 

 

 

that during the payroll period commencing on the

 

day of

 

, 20

 

and ending on the

 

 

day of

 

 

 

 

 

 

 

 

 

 

, 20

 

 

 

all persons employed on said project

have been paid the full weekly wages earned, that no rebates have been or will be made either directly or indirectly to or on behalf of the contractor or subcontractor from the full weekly wages earned by any person and that no deductions have been made either directly or indirectly from the full wages earned by any person, other than permissible deductions as defined in the prevailing wage regulations of the State of Delaware.

2.That any payrolls otherwise under this contract required to be submitted for the above period are correct and complete; that the wage rates for laborers or mechanics contained therein are not less than applicable wage rates contained in any wage determination incorporated into the contract; that the classifications set forth therein for each laborer or mechanic conform with the work performed.

3.That any apprentices employed in the above period are duly registered in a bona fide apprenticeship program registered with a state apprenticeship agency recognized by the Bureau of Apprenticeship and Training, United States Department of Labor, and that the worksite ratio of apprentices to mechanics does not exceed the ratio permitted by the prevailing wage regulations of the State of Delaware.

An employer who fails to submit sworn payroll information to the Department of Labor weekly shall be subject to fines of $1,000.00 and $5,000. for each violation.

List only those fringe benefits:

For which the employer has paid; and

Which have been used to offset the full prevailing wage rate.

(See Delaware Prevailing Wage Regulations for explanation of how hourly value of benefits is the be computed.)

HOURLY COST OF BENEFITS

(List in same order shown on front of record)

Employee

1.

2.

3.

4.

5.

6.

7.

8.

I hereby certify that the foregoing information is true and correct to the best of m knowledge and belief. I realize that making a false statement under oath is a crime in State of Delaware

Signature

STATE OF

COUNTY OF

SWORN TO AND SUBSCRIBED BEFORE ME, A NOTARY PUBLIC,

THIS

 

DAY OF

 

, A.D. 20

 

.

Notary Public

Delaware Payroll Report: Usage Guide

Filling out the Delaware Payroll Report form requires attention to detail and accurate information. After completing the form, it must be submitted to the appropriate authorities to ensure compliance with state regulations regarding payroll and prevailing wages. Here are the steps to complete the form:

  1. Begin by entering the name of the contractor or subcontractor at the top of the form.
  2. Fill in the address of the contractor or subcontractor.
  3. Provide the phone number for the contractor or subcontractor.
  4. Input the project name and location.
  5. Write the week ending date for the payroll period.
  6. Enter the contract number associated with the project.
  7. Indicate the date of prevailing wage determination used for the project.
  8. List each employee's name, address, and Social Security number.
  9. For each employee, record the total hours worked each day of the week.
  10. Document the hourly rate of pay for each employee.
  11. Calculate and enter the gross wages earned by each employee.
  12. Detail any deductions made from the wages, including FICA, federal withholding tax, and state withholding tax.
  13. List the fringe benefits provided to each employee, if applicable.
  14. At the bottom of the form, have the signatory party print their name and title.
  15. Complete the certification statement by confirming the accuracy of the information provided.
  16. Sign and date the form.
  17. Have the form notarized, ensuring the notary public signs and dates it.

Documents used along the form

The Delaware Payroll Report form is a critical document used to ensure compliance with state labor laws regarding prevailing wages. However, it is often accompanied by several other forms and documents that help provide a comprehensive overview of payroll practices and employee compensation. Below is a list of these additional documents commonly used in conjunction with the Delaware Payroll Report.

  • Employee Time Sheets: These records detail the hours worked by each employee during a specific pay period. They serve as a basis for calculating wages and ensuring that employees are compensated accurately for their time.
  • Motorcycle Bill of Sale: This is a crucial document for recording the sale of a motorcycle in California, serving as both a receipt and a formal ownership transfer agreement. For more details, visit smarttemplates.net/fillable-california-motorcycle-bill-of-sale/.
  • Wage Determination Document: This document outlines the prevailing wage rates applicable to a specific project. It is essential for contractors to reference this information to ensure compliance with wage laws.
  • Certified Payroll Reports: These reports provide a detailed account of all payroll information, including wages and hours worked, and must be submitted to the state to demonstrate compliance with labor laws.
  • Fringe Benefit Statements: These statements list the fringe benefits provided to employees, such as health insurance or retirement contributions, and how they contribute to meeting prevailing wage requirements.
  • Apprenticeship Program Documentation: This paperwork verifies that any apprentices employed are registered in a bona fide program, which is crucial for compliance with state apprenticeship regulations.
  • IRS Form W-2: This form reports an employee's annual wages and the taxes withheld from their pay. It is essential for both the employer and employee for tax purposes.
  • IRS Form 941: This quarterly tax form reports the amount of federal income tax withheld from employee wages, as well as Social Security and Medicare taxes. It helps ensure compliance with federal tax obligations.
  • Employment Eligibility Verification (Form I-9): This form verifies that employees are legally allowed to work in the United States. Employers must keep this documentation on file for each employee.

These documents collectively support the accurate reporting and payment of wages, ensuring compliance with both state and federal labor laws. Maintaining thorough and accurate records is essential for employers to avoid penalties and foster fair labor practices.

Key takeaways

When filling out the Delaware Payroll Report form, it is essential to keep several key points in mind. Below are important takeaways that will help ensure accuracy and compliance.

  • Complete All Sections: Fill in every required field, including contractor or subcontractor name, project details, and employee information.
  • Accurate Dates: Ensure that the week ending date and the dates of the prevailing wage determination are correct.
  • Employee Details: Include the full name, address, Social Security number, and classification of each employee.
  • Hours Worked: Clearly document the total hours worked each day for each employee. This includes weekends if applicable.
  • Wage Rates: Verify that the wage rates listed meet or exceed the applicable rates from the wage determination.
  • Permissible Deductions: Only include deductions that are allowed under Delaware’s prevailing wage regulations.
  • Certification Requirement: The signatory must certify the accuracy of the information. False statements can lead to serious legal consequences.

By following these guidelines, you can ensure that the Delaware Payroll Report form is filled out correctly and submitted on time. This helps avoid potential fines and maintains compliance with state regulations.

Find More PDFs

Power of Attorney Form Delaware - The form may be referenced in various situations requiring financial or property decisions.

An Employment Verification Form is a document used by employers to confirm the employment status of current or former employees. This form typically includes information such as the employee's position, dates of employment, and sometimes, salary details. It serves as a critical tool for various purposes, including background checks for new employment, loan applications, and housing requests. For those seeking templates to create this form, resources can be found at TopTemplates.info.

Delaware Dissolution Process - Check the Delaware fee chart online for any additional potential charges associated with filing.

File Details

Fact Name Details
Purpose The Delaware Payroll Report form is used to report wages paid to employees on public projects.
Governing Law This form is governed by the Delaware Prevailing Wage Regulations.
Submission Frequency Employers must submit the payroll report weekly to the Delaware Department of Labor.
Signatory Requirements The form must be signed by a party responsible for paying or supervising the payment of employees.
Consequences of Non-Compliance Failure to submit the payroll report can result in fines ranging from $1,000 to $5,000 for each violation.
Information Required The report requires details such as employee names, hours worked, wages, and deductions.
Fringe Benefits Employers must list fringe benefits paid and how they offset the prevailing wage rate.
Apprenticeship Verification Employers must confirm that apprentices are registered in an approved program and adhere to worksite ratios.
Notary Requirement The form must be sworn and subscribed before a notary public to ensure accuracy and compliance.
⇓ PDF File