Certified payroll form - Harris County Public Infrastructure Department 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the name of the contractor or subcontractor at the top of the form. This identifies who is responsible for the payroll submission.
  3. Fill in the payroll number and the week ending date to specify which payroll period this form covers.
  4. Provide your address, project location, and project or contract number to ensure proper documentation and tracking.
  5. In the Statement of Compliance section, check either (a) or (b) regarding fringe benefits. This indicates how benefits are handled for employees.
  6. Complete the signatory section with your name, title, and signature to validate that all information provided is accurate and complete.
  7. Review all entries for accuracy before submitting. Ensure that any exceptions are noted clearly in Section (c).

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