Massachusetts - Weekly Payroll Records Report & Statement Of Compliance Form printable pdf download

Massachusetts - Weekly Payroll Records Report & Statement Of Compliance Form

WEEKLY PAYROLL RECORDS REPORT

& STATEMENT OF COMPLIANCE

In accordance with Massachusetts General Law c149, section 27B, a true and

accurate record must be kept of all persons employed on the public works construction

project for which the enclosed rates have been provided. The Weekly Payroll Report

Form includes all the information required to be kept by law. Every contractor or

subcontractor is required to keep these records and preserve them for a period of three

years from the date of completion of the project.

In addition, every contractor and subcontractor is required to submit a copy of

their weekly payroll records to the awarding authority. This is required to be done on a

weekly basis. Once collected, the awarding authority is also required to preserve those

records for three years.

In addition, each such contractor, subcontractor or public body shall furnish to the

Executive Office of Labor within fifteen days after completion of its portion of the work

a statement, executed by the contractor, subcontractor or public body who supervises the

payment of wages, in the following form:

STATEMENT OF COMPLIANCE

Date: _____ / ______ / 20____

I, ________________________________ ,________________________________

(Name of signatory party)

(Title)

do hereby state:

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

______________________________ on the _______________________________

(Contractor, subcontractor or public body)

(Building or project)

and that all mechanics and apprentices, teamsters, chauffeurs and laborers employed on

said project have been paid in accordance with wages determined under the provisions

of sections twenty-six and twenty-seven of chapter one hundred and forty nine of the

General Laws.

Signature _____________________________

Title _________________________________

Massachusetts - Weekly Payroll Records Report & Statement Of Compliance Form