Form DLT-WRS-4 "Rhode Island Certified Prevailing Wage Daily Log" - Rhode Island

What Is Form DLT-WRS-4?

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

Form Details:

  • Released on October 1, 2014;
  • The latest edition provided by the Rhode Island Department of Labor and Training;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form DLT-WRS-4 by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Labor and Training.

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Download Form DLT-WRS-4 "Rhode Island Certified Prevailing Wage Daily Log" - Rhode Island

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RI Department of Labor and Training
Page:___________
Division of Workforce Regulation & Safety
Professional Regulation Unit/Prevailing Wage Section
1511 Pontiac Avenue Building 70, P.O. Box 20247 Cranston, RI 02920-0943
Rhode Island Certified Prevailing Wage Daily Log
Project Name:_______________________________
Contractor:
Project Location:_____________________________
Address:
Date: ________________
City/Town:
State
Zip
Time
Employee Name (Print)
Job Title/ Classification
In
Out
Employee Signature
I _________________________________________ hereby certify that the information in this form is complete and correct.
(print name and title)
Any contractor who knowingly maintains a false or fraudulent daily log maybe penalized by the Department of Labor and
Training up to $500 for each calendar day of noncompliance.
___________________________________________
____________________
Contractor/Officer’s Signature
Date
* Each contractor working on this project must complete a Daily Log for their employees only .
DLT is an equal opportunity employer/program - auxiliary aids and services available upon request. TTY via RI Relay: 711
DLT-WRS-4 (10/14)
RI Department of Labor and Training
Page:___________
Division of Workforce Regulation & Safety
Professional Regulation Unit/Prevailing Wage Section
1511 Pontiac Avenue Building 70, P.O. Box 20247 Cranston, RI 02920-0943
Rhode Island Certified Prevailing Wage Daily Log
Project Name:_______________________________
Contractor:
Project Location:_____________________________
Address:
Date: ________________
City/Town:
State
Zip
Time
Employee Name (Print)
Job Title/ Classification
In
Out
Employee Signature
I _________________________________________ hereby certify that the information in this form is complete and correct.
(print name and title)
Any contractor who knowingly maintains a false or fraudulent daily log maybe penalized by the Department of Labor and
Training up to $500 for each calendar day of noncompliance.
___________________________________________
____________________
Contractor/Officer’s Signature
Date
* Each contractor working on this project must complete a Daily Log for their employees only .
DLT is an equal opportunity employer/program - auxiliary aids and services available upon request. TTY via RI Relay: 711
DLT-WRS-4 (10/14)