Certified Payroll Record
A preparation record for prevailing-wage payroll: worker classifications, daily and weekly hours, rates paid against the applicable wage determination, fringe benefits, overtime and itemized deductions, for one payroll week. The wage determination is a field you complete from the one issued for your contract — nothing is hard-coded, because determinations are issued by the authority and change. Use this to assemble and check your figures, then file on the form your contracting authority requires.
Fill & print the form
Runs entirely in your browser — nothing is uploaded; your answers are saved only on this device.
Frequently asked
Is this the certified payroll form I submit?
No. It is a preparation record only. It contains no statement of compliance and no certification wording, and the required form and format differ by jurisdiction and contract — file on the form your contracting authority requires.
Does it confirm I paid the right prevailing wage?
No. It documents the work you did to check your payroll rather than performing that check for you. Get the wage determination from the issuing authority; falsely certifying prevailing-wage payroll carries real legal and financial penalties.