Request For Wage Determination And
U.S. Department of Labor
Response To Request
Employment Standards Administration
Wage and Hour Division
(Davis Bacon Act as Amended and Related Statuses)
FOR DEPARTMENT
Mail Your Request To:
OF LABOR USE
U.S. Department of Labor
CHECK OR LIST CRAFTS NEEDED
Employment Standards Administration
(Attach continuation sheet if needed)
Wage and Hour Division
Response To Request
Branch of Construction Contract Wage Determinations
Asbestos workers
Washington, D.C. 20210
Use area determination issued for
Boilermakers
Requesting Officer (Typed name and signature)
this area
Bricklayers
Carpenters
Phone Number
Department, Agency, or Bureau
Cement masons
Electricians
Estimated Bid Opening Date
Date of Request
Estimated Advertising Date
Glaziers
Ironworkers
Type of Work
Prior Decision Number (If any)
Estimated $ Value of Contract
The attached decision noted below
Laborers (Specify classes)
is applicable to this project
Under 1/2 Mil
1 to 5 Mil
Highway
Bldg.
1/2 to 1 Mil
Heavy
Over 5 Mil
Resid.
Decision Number
Address to which wage determination should be mailed. (Print or type)
Lathers
Marble & tile setters. terrazzo workers
Date of Decision
Painters
Piledrivermen
Plasterers
Expires
Plumbers
Roofers
Sheet metal workers
Supersedes Decision Number
Soft floor layers
Stearnfitters
Welders-rate for craft
Approved
Truck drivers
(City, County, State, Zip Code)
Location of Project
Power equipment operators
(Specify types)
Description of Work
(Be specific) (Print or type)
Other Crafts
308-104
Standard Form 308 (Rev. May 1985)
* U.S. Government Printing Office: 1985-484-272/39411
U.S. Department of Labor -29 CFR Part 1
NSN 7540-00-105-0078