Certified Payroll Form (PDF) - uc 2026

1. Click ‘Get Form’ to open the Certified Payroll Form in the editor.
2. Begin by entering the Employer Name & Address at the top of the form. This identifies who is responsible for payroll.
3. Fill in the Name of General/Prime Contractor and Project Name & Location to specify project details.
4. Indicate if you are a subcontractor by checking the appropriate box, and provide the Week Ending date for payroll processing.
5. In Section 1, list each Employee's Name, Address, and Social Security Number. Ensure accuracy for compliance.
6. Complete Work Class and Hours Worked fields for each employee, detailing their daily hours worked during the pay period.
7. Enter Base Rate and Total Hours worked on the project to calculate gross pay accurately.
8. Fill in Fringes section with applicable benefits such as Health & Welfare (H&W) contributions.
9. Review Total Hours All Jobs and ensure all deductions are correctly noted in NET Gross Taxes section before signing.
10. Finally, sign and date the form to certify that all information is accurate and compliant with regulations.

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