Weekly Certified Payroll Report and Workforce Participation
This weekly certified payroll report is a mandatory document for contractors and subcontractors in Massachusetts. It ensures compliance with labor laws and helps track workforce participation goals for minorities and women in public works projects. Complete this form accurately and submit it to the awarding authority timely.
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How do I fill this out?
To fill out this form, start by entering your company name and contact information at the top. Next, accurately report the hours worked by each employee categorized as woman, minority, or non-minority. Finally, ensure that all required signatures are properly included before submission.

How to fill out the Weekly Certified Payroll Report and Workforce Participation?
1
Identify your company information and payroll number.
2
List the hours worked by each employee in the appropriate categories.
3
Sign the statement of compliance confirming the accuracy of the report.
4
Ensure compliance with workforce participation goals for minorities and women.
5
Submit the completed form to the awarding authority.
Who needs the Weekly Certified Payroll Report and Workforce Participation?
1
Contractors need this report to comply with Massachusetts labor laws.
2
Subcontractors must submit the form to ensure accurate payroll reporting.
3
Government agencies require these reports to monitor workforce participation.
4
Labor unions may need this form to track compliance with labor agreements.
5
Employers use this report for evaluating workforce diversity and adherence to legal standards.
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What are the instructions for submitting this form?
To submit the Certified Payroll Report, send the completed form to the awarding authority via first-class mail or email. Include all required documentation, including the signed statement of compliance. It's important to keep a copy of the submitted report for your records.
What are the important dates for this form in 2024 and 2025?
Important dates for submitting the Certified Payroll Report typically align with the end of each work week. Check for any project-specific deadlines set by the awarding authority. Make sure to submit your reports promptly to avoid penalties.

What is the purpose of this form?
The purpose of the Certified Payroll Report is to ensure compliance with Massachusetts labor laws that require accurate reporting of payroll. This report tracks workforce participation, particularly focusing on minorities and women in public works projects. By filling out this form correctly, contractors and subcontractors can demonstrate their commitment to equitable labor practices and legal adherence.

Tell me about this form and its components and fields line-by-line.

- 1. Company Name: The legal name of the contracting company.
- 2. Address: Physical address of the company.
- 3. Phone No.: Contact number for the company.
- 4. Payroll No.: Unique identifier for this payroll.
- 5. Employer's Signature: Signature of the employer or authorized signatory.
- 6. Title: Title of the employer or authorized signatory.
- 7. Contract No: Contract number related to the project.
- 8. Tax Payer ID #: Tax identification number of the company.
- 9. Work Week Ending: Date indicating the end of the work week.
- 10. Awarding Authority Name: Name of the authority awarding the contract.
- 11. Public Works Project Name: Name of the public works project.
- 12. Public Works Project Location: Location where the project is taking place.
- 13. Min. Wage Rate Sheet Number: Identifier for the minimum wage rate sheet.
- 14. General / Prime Contractor's Name: Name of the primary contractor for the project.
- 15. Subcontractor's Name: Name of any subcontractors involved.
- 16. Employer Hourly Fringe Benefit Contributions: Details on fringe benefit contributions.
- 17. Employee Name & Complete Address: Names and addresses of all employees.
- 18. Work Classification: Classification of work performed by each employee.
- 19. Project Hours: Total hours worked on the project by each employee.
- 20. Hourly Base Wage: The wage rate paid to each employee.
- 21. Total Gross Wages: Total wages before deductions.
- 22. Check No.: Identifier for payment to the employee.
What happens if I fail to submit this form?
Failing to submit the Certified Payroll Report can result in severe repercussions for contractors and subcontractors. This could include involvement in criminal actions or civil citations due to labor law violations. Timely submission is crucial to avoid these complications.
- Legal Action: Contractors may face criminal charges for non-compliance.
- Civil Citations: Failure to submit can lead to fines and penalties.
- Loss of Contract: Non-compliance may jeopardize current and future contracts.
How do I know when to use this form?

- 1. Weekly Payroll Reporting: To report total hours worked by employees each week.
- 2. Compliance Tracking: To ensure adherence to workforce participation goals.
- 3. Submission for Audits: To provide documentation during audits from state authorities.
Frequently Asked Questions
What is the purpose of the Certified Payroll Report?
The report serves to ensure compliance with state labor laws and track workforce participation.
Who needs to fill out this form?
Contractors and subcontractors involved in public works projects must fill out this form.
How do I submit the form?
You can submit the form via email or by mailing it to the awarding authority.
Can I edit the PDF before submission?
Yes, use PrintFriendly's tools to edit the PDF before downloading it.
Is there a deadline for submitting this report?
Check with the awarding authority for specific submission deadlines.
What happens if I don’t submit this form?
Failure to submit can lead to legal consequences and fines.
How do I ensure accurate reporting?
Double-check all entries and ensure compliance with participation goals.
What if I need assistance while filling out the form?
You can refer to our online guidance or consult a labor attorney.
How do I sign the PDF?
Use our signing feature to add your digital signature to the document.
What key details do I need to include?
Make sure to include accurate payroll hours, employee classifications, and signatures.
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