Instructions for "Payroll Form" - Minnesota

This document was released by Minnesota Department of Transportation and contains the most recent official instructions for Payroll Form.

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How To Correctly Fill Out the MnDOT Payroll Form.
This form is for the contractor’s op onal use. The contractor’s op on is to have a computer generated form. Although computer generated form must show all of the following infor-
ma on to be accepted as a payroll for the project.
Please include the lowest
Payrolls must be numbered sequen ally based on
Fill Out Completely.
state project number as
the weeks worked on the project. Write the word
listed on the contract.
“Final” on the last payroll you submit.
Total Over me and
Total Gross Amount Earned
Straight Time Hours
this Pay Period.
Worked on this Project.
The Days and Dates
of the Pay Period.
Gross Amount Earned While
Employees Name, Address
Working on this Project for
Net Amount Paid to the Employee
and Last 4 Digits of Social
this Pay Period.
for this Pay Period.
Security Number Must
Job Classifica on Number
Appear on the Payroll that
From the Contract Wage Determi-
the Employee Works on
Must Accurately Reflect Over me and the Straight Time Hours.
na ons and/ or the Corresponding
the Project. Proceeding
Job Title.
Payrolls Only Require the
Minnesota State Statue 177.41 through 177.44:
Employee’s Name.
The Prevailing Hours of Labor are 8 hours a day and 40 hours per week. All hours in
excess of the prevailing hours of labor must be paid at 1.5 mes the hourly rate of
pay paid to the Laborer and Mechanic.
How To Correctly Fill Out the MnDOT Payroll Form.
This form is for the contractor’s op onal use. The contractor’s op on is to have a computer generated form. Although computer generated form must show all of the following infor-
ma on to be accepted as a payroll for the project.
Please include the lowest
Payrolls must be numbered sequen ally based on
Fill Out Completely.
state project number as
the weeks worked on the project. Write the word
listed on the contract.
“Final” on the last payroll you submit.
Total Over me and
Total Gross Amount Earned
Straight Time Hours
this Pay Period.
Worked on this Project.
The Days and Dates
of the Pay Period.
Gross Amount Earned While
Employees Name, Address
Working on this Project for
Net Amount Paid to the Employee
and Last 4 Digits of Social
this Pay Period.
for this Pay Period.
Security Number Must
Job Classifica on Number
Appear on the Payroll that
From the Contract Wage Determi-
the Employee Works on
Must Accurately Reflect Over me and the Straight Time Hours.
na ons and/ or the Corresponding
the Project. Proceeding
Job Title.
Payrolls Only Require the
Minnesota State Statue 177.41 through 177.44:
Employee’s Name.
The Prevailing Hours of Labor are 8 hours a day and 40 hours per week. All hours in
excess of the prevailing hours of labor must be paid at 1.5 mes the hourly rate of
pay paid to the Laborer and Mechanic.
How To Report:
Time and Wages If
An Employee Works in More Than One Classifica on During the Pay Period
An Employee That Only Works on This Project During the Pay Period.
Connie Doe Worked In More Than One
Combine the Two Classifica-
Classifica on During This Pay Period.
ons for the Gross Amount
Robert Aus n Only Worked on This Project During This
Earned for this Project and
Pay Period.
Total Gross Amount Earned
this Pay Period.
Break The Classifica ons Apart by Using
Two or More Lines on the Payroll Report
The Gross Amount Earned for this Project and The To-
To Dis nguish the Different Classifica-
ons.
How To Report:
A Registered Appren ce Working On The Project.
Appren ce
Joe Smith Is A Registered Appren ce Carpenter. Must State This On Payroll Report For Classifica on.
Carpenter
Must Include His Appren ce I. D. Number Issued From the United States Department of Labor or
I.D.# XXXXXX
the Minnesota Department Of Labor and Industry, Division of Appren ceship.
Must Include His Current Pay Progression Step.
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