Form PW-3 "Request for Wage Determination" - Missouri

What Is Form PW-3?

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

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the Missouri Department of Labor and Industrial Relations;
  • 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 Form PW-3 by clicking the link below or browse more documents and templates provided by the Missouri Department of Labor and Industrial Relations.

ADVERTISEMENT
ADVERTISEMENT

Download Form PW-3 "Request for Wage Determination" - Missouri

134 times
Rate (4.4 / 5) 9 votes
MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
DIVISION OF LABOR STANDARDS
REQUEST FOR WAGE DETERMINATION
PLEASE RETURN TO: Division of Labor Standards
Phone: 573-751-3403
Attn: Prevailing Wage Section
Fax: 573-751-3721
P.O. Box 449
Email: prevailingwage@labor.mo.gov
Jefferson City, MO 65102-0449
Website: www.labor.mo.gov/DLS/PrevailingWage/pwBodies
REQUESTER INFORMATION
I am requesting a wage determination according to Chapter 290 of the Missouri Prevailing Wage Law (sections 290.210 through
290.340 and 290.550 through 290.580 RSMo).
Name of Requester (please print)
Requester Title
Requester Organization
Phone Number (include Area Code)
Mailing Address
Email Address
City
State
ZIP Code
PUBLIC BODY INFORMATION
Contact Person at Public Body
Official Name of the Public Body requesting the wage rates
Phone Number (include Area Code)
Street Address
Email Address
City
State
ZIP Code
FUNDING INFORMATION
Will the federal government or any of its agencies furnish loans or grants for any part of the funds used in your contracts?
Yes
No
If “Yes,” will the federal government or any of its agencies also prescribe a schedule of Prevailing Wage Rates?
Yes
No
COUNTY(IES) REQUESTED
Please list county(ies) requested:
(for St. Louis, please specify “County” or “City”)
ANNUAL WAGE ORDER
The Annual Wage Order is accessible on the Division’s website at www.labor.mo.gov/DLS/PrevailingWage.
Email address: ________________________________________________________________________________________________________
Requester Signature
Date of Request
Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program.
TDD/TTY: 800-735-2966 Relay Missouri: 711
PW-3 (10-17) AI
MISSOURI DEPARTMENT OF LABOR AND INDUSTRIAL RELATIONS
DIVISION OF LABOR STANDARDS
REQUEST FOR WAGE DETERMINATION
PLEASE RETURN TO: Division of Labor Standards
Phone: 573-751-3403
Attn: Prevailing Wage Section
Fax: 573-751-3721
P.O. Box 449
Email: prevailingwage@labor.mo.gov
Jefferson City, MO 65102-0449
Website: www.labor.mo.gov/DLS/PrevailingWage/pwBodies
REQUESTER INFORMATION
I am requesting a wage determination according to Chapter 290 of the Missouri Prevailing Wage Law (sections 290.210 through
290.340 and 290.550 through 290.580 RSMo).
Name of Requester (please print)
Requester Title
Requester Organization
Phone Number (include Area Code)
Mailing Address
Email Address
City
State
ZIP Code
PUBLIC BODY INFORMATION
Contact Person at Public Body
Official Name of the Public Body requesting the wage rates
Phone Number (include Area Code)
Street Address
Email Address
City
State
ZIP Code
FUNDING INFORMATION
Will the federal government or any of its agencies furnish loans or grants for any part of the funds used in your contracts?
Yes
No
If “Yes,” will the federal government or any of its agencies also prescribe a schedule of Prevailing Wage Rates?
Yes
No
COUNTY(IES) REQUESTED
Please list county(ies) requested:
(for St. Louis, please specify “County” or “City”)
ANNUAL WAGE ORDER
The Annual Wage Order is accessible on the Division’s website at www.labor.mo.gov/DLS/PrevailingWage.
Email address: ________________________________________________________________________________________________________
Requester Signature
Date of Request
Missouri Department of Labor and Industrial Relations is an equal opportunity employer/program.
TDD/TTY: 800-735-2966 Relay Missouri: 711
PW-3 (10-17) AI