Statement of employer payments 2026

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  1. Click ‘Get Form’ to open the statement of employer payments in the editor.
  2. Begin by entering the date at the top of the form. This is essential for record-keeping.
  3. Fill in the 'Prime' and 'Subcontractor' fields with the relevant company names.
  4. Specify the 'PROJECT NAME' and 'PROJECT CONTRACT NO.' to identify the project associated with these payments.
  5. In the 'County/location' section, provide details about where the project is located.
  6. For each plan (Health and Welfare, Pension, Vacation/Holiday, Training), enter the name of the plan and its administrator's address. Include contributions per classification per hour as applicable.
  7. Indicate contributions on a weekly, monthly, quarterly, or annual basis as required for each plan.
  8. If there are additional plans not listed, utilize the back of this form to provide that information.

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