"Prevailing Wage Rates Request Form" - Connecticut

This "Prevailing Wage Rates Request Form" is a Connecticut-specific form released by the Connecticut Department of Labor on March 1, 2007.

Download the form by clicking the link below, fill it out by hand, and mail it as per the guidelines provided by the department or the applicable legal instructions.

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Download "Prevailing Wage Rates Request Form" - Connecticut

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Rev. 3/1/07
CONNECTICUT DEPARTMENT OF LABOR
PREVAILING WAGE RATES REQUEST FORM
CONTRACTING AGENCY/POLITICAL SUBDIVISION OR THEIR AGENT REQUESTING RATES
Project Name and Number (If Applicable):
Location of Project:
Project Description:
Total Cost of Project:
Estimated Duration of the Project: Start Date:
End Date:
Date Advertised to Bid:
CHECK THE TYPE OF SCHEDULE(S) NEEDED:
1) BUILDING
2) HEAVY/HIGHWAY
3) RESIDENTIAL
4) SPANISH RATES (available in Building Only upon request)
MAIL
PICK-UP
OR E-MAIL (provide email address)
Please fax or mail to: Connecticut Department of Labor
Wage & Workplace Standards Division
Attention: Holly Carter
200 Folly Brook Blvd.
Wethersfield, CT 06109
Fax Number (860)263-6541
Telephone Number (860)263-6549
Come visit us on our website at WWW.CT.GOV/DOL
Now you can request rates through our website at
WWW.CTDOL.STATE.CT.US/WGWKSTND/FORMS/PREVWGFM.HTM
As required by law please submit requests for rates at least ten (10) days but not more than twenty
(20) days prior to the date of advertisement for bid.
NAME, ADDRESS, AND TELEPHONE NUMBER OF PERSON REQUESTING RATES:
Rev. 3/1/07
CONNECTICUT DEPARTMENT OF LABOR
PREVAILING WAGE RATES REQUEST FORM
CONTRACTING AGENCY/POLITICAL SUBDIVISION OR THEIR AGENT REQUESTING RATES
Project Name and Number (If Applicable):
Location of Project:
Project Description:
Total Cost of Project:
Estimated Duration of the Project: Start Date:
End Date:
Date Advertised to Bid:
CHECK THE TYPE OF SCHEDULE(S) NEEDED:
1) BUILDING
2) HEAVY/HIGHWAY
3) RESIDENTIAL
4) SPANISH RATES (available in Building Only upon request)
MAIL
PICK-UP
OR E-MAIL (provide email address)
Please fax or mail to: Connecticut Department of Labor
Wage & Workplace Standards Division
Attention: Holly Carter
200 Folly Brook Blvd.
Wethersfield, CT 06109
Fax Number (860)263-6541
Telephone Number (860)263-6549
Come visit us on our website at WWW.CT.GOV/DOL
Now you can request rates through our website at
WWW.CTDOL.STATE.CT.US/WGWKSTND/FORMS/PREVWGFM.HTM
As required by law please submit requests for rates at least ten (10) days but not more than twenty
(20) days prior to the date of advertisement for bid.
NAME, ADDRESS, AND TELEPHONE NUMBER OF PERSON REQUESTING RATES:
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