CDOT Form 280 "Equal Employment Opportunity and Labor Compliance Verification" - Colorado

What Is CDOT Form 280?

This is a legal form that was released by the Colorado Department of Transportation - a government authority operating within Colorado. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2017;
  • The latest edition provided by the Colorado Department of Transportation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of CDOT Form 280 by clicking the link below or browse more documents and templates provided by the Colorado Department of Transportation.

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Download CDOT Form 280 "Equal Employment Opportunity and Labor Compliance Verification" - Colorado

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COLORADO DEPARTMENT OF TRANSPORTATION
Project No.:
Project Code (SA#):
EQUAL EMPLOYMENT OPPORTUNITY AND
LABOR COMPLIANCE VERIFICATION
Project Location:
Contractor Name:
Employee Name:
Job Classification:
JOB SITE INTERVIEW SECTION
Equal Employment Opportunity
Have you seen the EEO posters posted by the Contractor?
Yes
No
Do you know the EEO policy of the Contractor?
Yes
No
Do you know who the project EEO Officer is?
Yes
No
If yes, what is the project EEO Officer’s name?
Have Contractor or Contractor personnel ever asked you to refer minorities and women to fill job openings?
Yes
No
Has the Contractor offered you training or apprenticeship programs to upgrade your skills?
Yes
No
How long have you been employed by this Contractor?
years
months
days
How did you get this job?
union
other:
Have you attended a meeting on this project where EEO was discussed?
Yes
No
If yes, what was the date of the meeting?
Do you feel the Contractor has discriminated against you in any way?
Yes
No
Comments:
Labor Compliance
Have you seen the wage posters posted by the Contractor?
Yes
No
What is your hourly wage rate? $
/hour
What is your hourly fringe benefit amount? $
/hour
How are fringe benefits being paid to you?
cash
other (e.g., plan, fund, program):
Have you experience any problems with fringe benefit payments?
Yes
No
If yes, please describe:
TOTAL HOURLY WAGE: $
/hour
How often are you paid?
weekly
other:
Describe your current work assignment:
Employee Signature:
Date:
VERIFICATION SECTION (Use the Contractor payroll to answer the questions in this Section)
Is the employee’s wage correct?
Yes
No
What is the total hourly amount?
What is employee’s worker classification?
What is the payroll date?
Comments:
Interviewer’s Signature:
Date:
04/17
Distribution: Project File (original)
Previous editions may be used until supplies exhausted
CDOT Form 280
COLORADO DEPARTMENT OF TRANSPORTATION
Project No.:
Project Code (SA#):
EQUAL EMPLOYMENT OPPORTUNITY AND
LABOR COMPLIANCE VERIFICATION
Project Location:
Contractor Name:
Employee Name:
Job Classification:
JOB SITE INTERVIEW SECTION
Equal Employment Opportunity
Have you seen the EEO posters posted by the Contractor?
Yes
No
Do you know the EEO policy of the Contractor?
Yes
No
Do you know who the project EEO Officer is?
Yes
No
If yes, what is the project EEO Officer’s name?
Have Contractor or Contractor personnel ever asked you to refer minorities and women to fill job openings?
Yes
No
Has the Contractor offered you training or apprenticeship programs to upgrade your skills?
Yes
No
How long have you been employed by this Contractor?
years
months
days
How did you get this job?
union
other:
Have you attended a meeting on this project where EEO was discussed?
Yes
No
If yes, what was the date of the meeting?
Do you feel the Contractor has discriminated against you in any way?
Yes
No
Comments:
Labor Compliance
Have you seen the wage posters posted by the Contractor?
Yes
No
What is your hourly wage rate? $
/hour
What is your hourly fringe benefit amount? $
/hour
How are fringe benefits being paid to you?
cash
other (e.g., plan, fund, program):
Have you experience any problems with fringe benefit payments?
Yes
No
If yes, please describe:
TOTAL HOURLY WAGE: $
/hour
How often are you paid?
weekly
other:
Describe your current work assignment:
Employee Signature:
Date:
VERIFICATION SECTION (Use the Contractor payroll to answer the questions in this Section)
Is the employee’s wage correct?
Yes
No
What is the total hourly amount?
What is employee’s worker classification?
What is the payroll date?
Comments:
Interviewer’s Signature:
Date:
04/17
Distribution: Project File (original)
Previous editions may be used until supplies exhausted
CDOT Form 280